AS OF 18:00, 10 NOVEMBER 2013 SITUATION ANALYSIS PHILIPPINES TYPHOON HAIYAN (YOLANDA) 8 NOVEMBER, 2013 November 2013: The UN and its humanitarian partners are working alongside the Philippine Government to assess damage that has been caused by Typhoon Haiyan - 2013's strongest storm. Credit: NOAA www.unocha.org The mission of the United Nations Office for the Coordination of Humanitarian Affairs (OCHA) is to mobilize and coordinate effective and principled humanitarian action in partnership with national and international actors. Coordination Saves Lives REFERENCE MAP Priority needs A special preparedness meeting was convened by the Philippines HCT on 7 November to organize a joint multi-cluster initial rapid needs assessment. A roster of assessment members has been composed of technical staff from the clusters and agreement was reached with the Government to undertake joint rapid needs assessments in three regions known to be the worst affected so far. UNDAC will coordinate further needs assessment teams once more information becomes available. MapAction started providing technical assistance in mapping the affected areas. The Philippines Red Cross started mobilizing assessment teams and will base their operations from Cebu City.The results of the needs assessment will highlight the immediate humanitarian priorities and existing gaps. Initial findings from information collection in affected areas suggest the following priority needs: 1. Shelter 2. Food 3. Health 4. WASH 5. Camp Management 6. Logistics Situation Overview (8 November 2013 OCHA) The hazard: Typhoon Haiyan (Yolanda) struck the Philippines Friday on the central island of Samar about 600 kilometers southeast of Manila. The storm carries sustained winds of 315 kilometres (195 miles) an hour and estimated rainfall is 10.0 – 30.0 mm per hour making the super typhoon the strongest storm ever to make landfall in the world. Haiyan made its initial landfall at the island of Guiuan, Eastern Samar at 4:45 am (local time) 2045 (UTC), PAGASA1 also recorded that Haiyan made landfall on the Visayas region five times. Storm surge were also recorded in many places. In the island of Leyte and Samar, PAGASA measured a 5-6 meter (15-19 ft) waves. Affected population: Authorities warn that more than 12 million people are at risk from the storm. WFP estimates that 2.5 million people may be in need of emergency food aid. High risk regions: The areas likely to be most affected are Regions VIII (Eastern Visayas), V (Bicol), VII (Central Visayas), VI (Western Visayas), and IV-B Mimaropa. – source AccuWeather.com Total population in the worst affected regions: 18 million. (2010 population) Evacuation: A total of 125, 604 people were evacuated prior to the arrival of the storm. Vulnerable populations: While the preliminary reports indicate that the island of Bohol which was recently struck by a 7.2 M earthquake, was not heavily affected by Haiyan, the affected regions are among the poorest and vulnerable in the country. (NSCB data – 2010) Impact: According to the Department of Social Welfare and Development (DSWD), an estimated 944,590 families (4.3 million people) are affected by the Typhoon in 36 provinces in nine regions as of 9 November. A total of 71,623 families (330,914 people) are in 1,223 evacuation centres while 2,352 families (11,223 people) are in host communities. The preliminary data is likely to change as more information becomes available. 2. Impact of the crisis Drivers of the emergency Storm 1 Typhoon Haiyan is the strongest tropical cyclone on record to make landfall. The characteristics of a typhoon that typically results in loss of life and livelihoods include: Storm surges: an increase in the level of the sea. When a tropical cyclone enters the coastal area, water levels can reach heights of four meters. Strong winds can increase these heights to six meters. Storm surges can produce extensive coastal flooding up to 40 kilometres from the coastline. This phenomenon has great destructive potential in low-lying, densely populated coastal areas (NOAA 2011). Heavy rains: Tropical storms frequently cause large amounts of rain, leading to (flash) floods particularly more land inwards. On an average, a tropical cyclone can cause 100 mm per day of rain PAGASA: Philippines Atmospheric, Geophysical and Astronomical Service Administration within 200 km of the eye, and 30-40 mm per day at distances of 200-400 km. (NHC, 2002). In mountainous areas these floods can be particularly harmful as heavy flash floods can lead to landslides (NHC, 2002). Wind: Coastal regions can receive significant damage from a tropical cyclone due to strong winds, which lead to substantial property damage and loss of life. Damaging winds can start long before the hurricane eye makes landfall (NHC, 2002). At landfall, a tropical storm rapidly loses energy (JRC 2007) hence inland regions are relatively safe from receiving strong winds. Underlying factors Geography The widespread regional geography of the areas affected by Typhoon Haiyan and the island nature of the Philippine archipelago suggests that logistical challenges will be dominant in both operational and coordination activities. Poverty: Poverty incidence among the population in the areas likely to be affected is among the highest in the Philippines. The national average for the Philippines is 24% of the population being “poor”. The percentage of poor population in Regions IV-B, V, VI, VII, and VIII are all above that average with the highest poverty rates in Bicol (45.1%) and in the Eastern Visayas (43.1%) – source: NSCB, 2009 Income Gap, Poverty Gap and Severity of Poverty - 2009 Income Gap Eastern Visayas Central Visayas Western Visayas Poverty Gap 27.4 Severity of Poverty 9.1 28.8 23.8 8.7 3.5 3.6 5.7 2.0 Malnutrition: The affected areas have some of the highest malnutrition rates in the country. Regions IV-B and V have very high rates of underweight prevalence. Region VI has a high prevalence of stunting. Region VIII has high prevalence of both underweight and stunting in children. (NSCB data) Health: Health: Pre-crisis health information revealed that the 5 leading morbidity causes in REGIONS 4B,5, 6, 7 and 8 are: 1) acute lower respiratory tract infection and pneumonia, 2)bronchitis, 3)acute watery diarrhoea, 4)hypertension and 5) influenza. Leptospirosis and dengue are also very common in these affected areas. The vaccine coverage is also quite low. Initial damages and impact reports Devastation in Tacloban City, Leyte province, is severe according to the UN Disaster Assessment and Coordination (UNDAC) team, which deployed on a military aircraft in the early morning of 9 November with members of the Humanitarian Country Team (HCT). The UNDAC team described the scale of destruction comparable to the impact of the 2004 Indian Ocean Tsunami. According to the Philippine Red Cross (PRC), flood waters were approximately 3 metres high and brought in by a storm surge in Tacloban. There is no food, water and there is no electricity in Tacloblan. Partners report looting and insecurity in town. The road linking the airport to the city is impassable due to debris and cadavers. Movement throughout Leyte is not possible until the roads are cleared which is expected to pose significant logistical challenges in the emergency relief operations. Humanitarian partners were advised to be self-sustaining with adequate supplies upon deployment to the affected areas. Many tourists are reported to be stranded in Tacloban and in need of consular services. Reports from government sources indicate over 151 people were found dead on the streets in Tacloban, but are yet to be confirmed. Aerial survey conducted by the Government, HCT members and UNDAC over Leyte indicates significant damage to coastal areas with heavy ships thrown to the shore, many houses destroyed and vast tracts of agricultural land decimated. In Bogo City and San Remigio, northern Cebu, the PRC reported significant damage to houses and sugar plantations. One elementary school in the area was flattened to the ground and public markets are without roofing. Another PRC assessment team reported that over 50 per cent of houses in Santa Rita, Samar province were damaged. In Calbayog, santa Margarita, Gandar, Tarangnan and San Jorge, agriculture was severely affected. There is still no electricity in Bohol, which is recovering from a 7.1 magnitude earthquake that struck on 15 October. However, initial rapid assessments conducted by humanitarian partners across the island on 9 November indicated that no major damages caused by the heavy rains and landslides. People affected by the October earthquake, who relocated to solid structures during the Typhoon crossing, are now returning to the evacuation sites and re-establishing temporary shelter accommodation. In other parts of Visayas, the scale of destruction may be more widespread. Most areas, however, are still inaccessible. Houses were damaged across the Typhoon’s path and flooding was reported in Oriental Mindoro province including Baco municipality, Oriental Mindoro remains 80 per cent under water. Several provinces and municipalities across Visayas have declared a state of calamity. Telecommunications are still disrupted in Leyte and Eastern Samar. Technicians from the major telecommunications companies are currently working on restoring the network including Télécoms Sans Frontière. All commercial flights to Tacloban City and Roxas City remain suspended. According to partners on the ground, some ferries connecting Bohol and Leyte resumed their operation. In recognition of the accessibility challenges of responding in multiple affected areas across the Visayan islands, the UN Resident and Humanitarian Coordinator ad interim (RC/HC a.i.) initiated the process of activating the Logistics and Emergency Telecommunications clusters to support the Government and the humanitarian community. On 9 November, the Government accepted the offer of international assistance through a letter to the RC/HC a.i. The Armed Forces of the Philippines have also requested support for the installation of emergency lights in four airport runways (Tacloban City, Roxas City, Iloilo City and Busuanga) to facilitate a 24 hour delivery rotation of relief supplies. Fuel storage facilities and emergency generators are needed. Potential Impact and Likely Needs Lessons learned from previous cyclones indicate that floods and severe storms with surges lead to typical assistance needs and can have multiple impacts on particular sectors. Until assessment data becomes available, the following provides an overview of the likely needs and impact in each of the key sectors. It also provides a brief overview of the current situation in affected areas: Food Security 1) Typical Assistance Needs: Short term food supply Market support Cash for work, Food for work, unconditional cash transfers Methods for drying and preserving seed stocks Agriculture tools distribution Repair of roads and other infrastructure Need to restore key saline embankments to avoid further water intrusion and further damage varieties of seeds changes in soil as a result of the floodwaters Restoring fishing activities 2) Probable direct and indirect impact: Direct Impact: Loss of food stock, crop yields, death and migration of animals; winds and heavy rain destroy standing crops; Loss of tools and seeds, flooding of farmland; Standing flood water limits replanting options or soil salinity due to storm-surge inundation; Damage to infrastructure and transportation systems; Loss and injury of family members and workforce Indirect Impact: Worsening of the food security situation in the medium and long term leading to decreased access to food; decreased food access from purchase, due to loss of income; increase of prices for basic foods and commodities, stressed animals, leading to falls in milk/egg production and weight loss Demand for labour decreases, leading to loss of income; Decreased food availability and access 3) Current Situation As farmers already harvested most of their crops (October), crop loss could be minimal. However, agricultural infrastructure, particularly irrigation and post-harvest facilities, are affected. It is critical that vulnerable farmers receive agricultural inputs for the upcoming cropping season beginning in December so they can continue their livelihood activities and focus their available resources on rebuilding their damaged houses, recovering lost/damaged productive assets, and meeting other household needs. Fishing will be highly impacted due to storm surge and damage to boats. Health 1) Typical Assistance Needs: To support the Department of Health in coordinating the health sector response Ensure adequate trauma care and referral of wounded Enhancement of health surge capacities; including health staff, procurement and distribution of essential medical supplies and set-up of temporary health facilities and mobile clinics to replace the totally damaged health facilities/services Re-establish/strengthening the disease surveillance and outbreak control through ensuring systematic epidemiological data collection and analysis and dissemination of reports for furhte health intervention or decision making Ensure equitable and timely access to essential primary and secondary care(ie. Primary health care, mother and child care, reproductive health, mental health, referral system and the re-establishment of drugs and cold chain management system) Ensure adequate medical waste disposal and waste management Raising awareness on the risk associated with cleanup activities Immunizations: Measles,Tetanus (TIG), possibly hepatitis A and typhoid Direct Impact: Physical injury represents the major cause of death and the primary cause of morbidity; Injuries, trauma and asphyxiation due to entrapment may result from building collapse and wind-strewn debris. The top three cyclone-related injuries are lacerations, blunt trauma, and puncture wounds, with 80 percent of these injuries being confined to the feet and lower extremities. Lacerations (torn or ragged wounds) account for up to 80% of all injuries. Most occur in the poststorm clean-up phase. There is an increased likelihood of outbreak of diarrhea, leptospirosis and measles throughout all potentially affected regions. As well as increased risk for other water borne disease and vector borne diseases can be exacerbated. There is also a higher incidence of tetanus compared with the national average in the affected areas. Conditions following a cyclone that increase the likelihood of infectious diseases include 1) disruption of public health services and the health-care infrastructure, 2) damage to water and sanitation networks, 3) changes in population density (especially in crowded shelters), 4) population displacement and migration, 5) increased environmental exposure due to damage to dwellings, and 6) ecologic changes 7) high endemic rates of infectious diseases (Shultz 2005). An increased incidence of animal and insect bites following tropical cyclones Exposure to hazardous materials during the impact, as well as during the clean-up phase of the disaster. Chronic diseases (such as asthma and emphysema, and hypertension) are known to be exacerbated. Risk of electrocution or drowning happen while securing property such as television antennas or boats (WHO 2011). Epidemics can also occur when the displaced return home in areas where water and sanitation facilities were destroyed. The presence of a large number of corpses following catastrophic natural disasters is not associated with epidemic infectious diseases. These deaths are caused by the natural disaster, not by disease, and therefore do not lead to epidemics. Indirect Impact: Overcrowded health structures; lack of access to basic healthcare; potential deterioration of nutritional status and illness if there is lack of access to healthcare; disruption of water supplies can lead to waterborne illnesses; overcrowding can lead to risk of communicable diseases; reduction in breastfeeding and ensuing health complications; increase in mosquitos can increase vector-borne diseases. 3) Current Situation Environment-related health risks have been cited as a significant problem, with air pollution, water pollution, poor sanitation and unhygienic practices, and mismanagement of solid wastes, among others, contributing to an estimated 22% of reported cases of disease and nearly 6% of reported deaths per year. Vector-borne diseases, such as malaria, dengue and filariasis, are an ever-present danger. Although malaria is no longer a leading cause of death, it continues to threaten the lives of about 12 million Filipinos in the 58 endemic provinces. Dengue fever also remains a threat, with cyclical outbreaks every three to five years. Outbreaks of diarrhoeal diseases are common in several areas of the country and are almost always related to a contaminated water supply. Most outbreaks are caused by cholera and salmonella. Non-communicable diseases (NCD) are considered a major public health concern in the Philippines, accounting for six of the top 10 causes of death. Diseases of the heart and vascular system are the leading causes of mortality, comprising nearly one-third (31%) of all deaths. The Philippines is one of 55 countries accounting for 94% of all maternal deaths in the world. The Philippines is also one of 42 countries accounting for 90% of global under-five deaths. The under-five mortality rate (U5MR) is currently 34 per 1000 live births. Tuberculosis is still among the leading causes of morbidity and mortality. The country has the ninth highest TB incidence in the world and the second highest in the Western Pacific Region. Child Health: Eastern Visayas (Reg VIII) has the 2nd highest rates of child mortality in the Philippines at 64 per 100,000 live births. (Philippines 2008 National Demographic and Health Survey) Maternal Health: More than 90% of Filipino women receive at least some antenatal care (ANC) from a skilled provider, most commonly from a midwife (51%) or doctor (39%). Less than half of births in the Philippines (44%) occur in health facilities. Overall, 62% of births are delivered by a skilled provider (doctor, nurse, or midwife). Another 36% of births are assisted by a traditional birth attendant or hilot. Maternal Health in High Risk Regions Pregnant women who received antenatal care from a skilled provider (%) Births assisted by a skilled provider (%) 97 85 67 39 27 Mimaropa Region 46 Central Visayas 48 43 34 Eastern Visayas 97 94 92 90 33 Northern Mindanao 51 42 Davao 50 30 Caraga Hospitals in affected areas: Reg: IV-B V VI VII Hospitals (Private and Gov) 64 109 86 105 Brgy. 763 1134 1776 1658 VIII 76 809 Health stations Water and Sanitation 1) Typical Assistance Needs: Distribution of safe water and provision of water recipients for purification Rapid cleaning and disinfecting programme for affected water sources Raising tube-wells and boreholes above flood level to prevent contamination Provision of buckets and water containers in relief packages 2) Direct and Indirect Impact: Direct Impact: Damage to pipelines as a result of landslides and strong water currents and uprooted trees due to strong winds Damage to elevated and ground-level tanks; Contamination of water in tanks, pipes and wells. Shallow wells are more prone to contamination from flooding than deep boreholes (WASH Cluster, 2009). Groundwater is an important source of water for many rural communities in developing countries. If the water table is within 1.5m of the bottom of a pit latrine it is almost certainly contaminated and using water from wells in the vicinity of excreta disposal facilities is not recommended after a tropical cyclone (WASH Cluster, 2009). The rise of water levels in sewer outfalls can cause waste water to flood the interiors of homes, lower levels of buildings, and public throughways. Watercourses can be affected by flooding, thereby altering expected flood levels, damaging or breaking pipes, exceeding the capacity of existing drains, and increasing turbidity in runoff. Failure of energy supply may lead to shut down of water plant, pumping station and debris may lead to damages to water plants Heavy rain may cause flooding of water plants and risk of sediments carried out by flash floods may lead to silting problem in water sources. Risk of flooding/ silting of groundwater sources (boreholes) Heavy flash floods may cause breakdown on distribution pipe network with consequent contamination Disruption of other improved water sources (water wells protected /unprotected with/without pumps, gravity feed systems small networks) Flood of water wells and protected spring causing cross contamination Loss of water intake, springs and river intake due to shifting on water course, siltation debris Indirect Impact: With lack of available drinking water, risk of waterborne disease outbreak, increase of morbidity and mortality particularly within most vulnerable (women, children, older people) Stagnant water may contribute to the increase of vector particularly malaria. Insufficient quantity of water available per person and per day Increased distance to functional water source Lack of latrines can lead to open defecation Lack of available and functional latrines can force women to wait after dark to be able to use an (open air) latrine in private. This can cause constipation and expose women to SGBV. 3) Current Situation: Throughout the Philippines, 93% of the population has access to improved drinking water sources. Urban context: Out of 93 % of the population that has access to improved drinking water sources, 61% have access to piped water while 32% to other improved water sources and only 7% depend on unimproved water sources. Rural context: Out of 93 % of the population that has access to improved drinking water source, 25% have access to piped water, 67% to other improved water source; only 7% depend on unimproved water sources and 1% on surface water. Country wise 74% of the population has access to improved sanitation facilities, 16% to shared facilities, 2% to unimproved facilities while 8% practice open defecation. Urban context: 79 % of the population has access to improved facilities and 17 % to shared ones, while 1% has unimproved sanitation facility 3% of urban population practice open defecation. Rural context: 69 % of the population has access to improved facilities and 16 % to share ones, while 3% has unimproved sanitation facility and 12% of rural population practice open defecation. Shelter and NFI 1) Typical Assistance Needs: Evacuation and emergency shelter solutions for roof and weather coverage particularly as the rainy season begins and additional tropical storm depressions appear to be forming in the Pacific. Tool kits for cleanup, rubble and debris removal, and material salvaging Measures to reduce the individual risk of being exposed to vector-borne diseases, such as mosquito nets. NFI kits according to household needs – blankets, cooking sets, sleeping mats 2) Direct and Indirect Impact: Direct Impact: Houses are typically pulled apart by winds moving swiftly around and over the building resulting in loss of shelter Floodwater can submerge buildings and cause various degrees of damage from staining of walls to structural collapse depending on flood depth and/ or duration and type of building (ADPC 2005). Debris and mud must be removed before rebuilding can take place (Brookings Institute 2010). The distribution of hygiene or health related NFI‟s should always be accompanied by information on why it is included in the distribution and on optimal use (WASH Cluster). Indirect Impact: Land/property issues and related disputes typically emerge in the aftermath of a disaster, particularly in urban areas where there is high demand for housing. Land ownership after floods can pose problems as land markers can be washed away by floods 3) Current Situation Some 75,000 people are living in displacement centres in the southern port of Zamboanga due to recent fighting. Around 350,000 people are living in tents and other temporary shelters on Bohol after a recent earthquake that killed over 200 people. The area is near Haiyan’s landfall entry-point. (The Guardian) Education: Schools are currently closed in affected areas. Number of Schools in the Affected Regions School Year 2011-2012 12,000 10,000 8,000 6,000 4,000 2,000 Pre-school Western Visayas Elementary Central Visayas Secondary Eastern Visayas Protection: Protection risks may be exacerbated following a natural disaster in the following manner as highlighted in the IASC Guidance on the protection of Persons in Situations of Natural Disasters: Lack of safety and security (e.g. rampant crime, secondary impacts of natural disasters, etc.); Gender-based violence; Unequal access to assistance, basic goods and services and discrimination in aid provision; Abuse, neglect and exploitation of children; Family separation, particularly for children, older persons, persons with disabilities and other individuals who may rely on family support for their survival; Loss/destruction of personal documentation and difficulties to replace it, in particular due to inadequate birth registration mechanisms; Inadequate law enforcement mechanisms and restricted access to a fair and efficient justice system; Lack of effective feedback and complaint mechanisms; Unequal access to employment and livelihood opportunities; Forced relocation; Unsafe or involuntary return or resettlement of persons displaced by the disaster; or Lack of property restitution and access to land. It is important to note that natural disasters may have different impacts on women, men, boys and girls. In particular, disasters can cause displacement putting women and girls at risk of sexual and gender based violence. Early Recovery: 1) Typical Assistance Needs: Debris clearance and restoration of access to basic services, communication and information, humanitarian assistance and address potential health hazards; Restoration of basic community infrastructure for social, governance and basic services; Enhance capacity of local authority to lead and coordinate humanitarian response efforts; Environmentally accepted solid waste/debris management to remove immediate health risks; Recycle and reuse of fallen trees, bricks, woods, and other materials through establishing material recovery facilities providing income generation opportunities; Community capacity building on disaster risk reduction and management; Cash-for-work engaging affected people, women and men, indigenous people and youth to meet the immediate cash needs of affected households; and Design and implement emergency life-saving income generation schemes through engaging public works. 2) Direct and Indirect Impact: Direct Impact: Affected communities and households will have access to critical life-saving services and humanitarian assistance; Humanitarian service providers will have access to the people/communities in need of their support to deliver goods and services; People in the affected areas will have access to communication and information; Affected community will have an improved sanitary and healthy environment with reduced health risks; and Affected households will have a diverse source of emergency income to meet their immediate basic needs. Indirect Impact: Restored the access and functions of critical social and economic services; Unnecessary sickness or deaths will have been prevented through improved environmental conditions; Local government’s public services will become fully operational and accessible; Solid Waste Management Act will have been followed and implemented in the affected municipalities; Affected households and communities will have strengthened their level of resilience; and Disaster risk reduction and management mechanism will become fully operational at the barangay level. 3) Current Situation Many roads linking the airport to the city and throughout Leyte are impassable due to debris and cadavers. Movements throughout affected communities are not possible until the roads are cleared. Debris clearing of major roads has been initiated by the government; the scale of devastation is overwhelming and requires further and immediate supports. Communities and households are severely damaged or totally destroyed and most of them are under debris, mud and water. Enormous challenges exist to clear access roads from the community to main roads as well as from households to access basic services and humanitarian assistance. Most community public facilities such as schools, health clinics, wells, barangay halls and markets have been destroyed. Scope of the crisis and demographic profile of the affected Source: NDDRMC, SitRep No. 9, Effects of Typhoon “Yolanda” (Haiyan), 8 November 2013, 6:00 AM. Projected Affected Population 3,000,000 2,500,000 2,000,000 1,500,000 1,000,000 500,000 - Male Female Status of populations living in affected areas Due to logistical constraints and compromised communication systems information on the population living in affected areas is not available. Only a few preliminary reports are available from staff who were already in the areas affected or have managed to make their way there. It is expected that a rapid needs assessment conducted jointly by the Government and HCT agencies, supported by UNDAC will take place beginning on 11 Nov. This is subject to the availability of seats on military aircraft as commercial flights are suspended. 2. Capacity National and local capacities and response The NDRRMC held an emergency meeting on 6 November to take stock of the government’s response capacity. All government line agencies are on full alert to respond to the potential effects of the typhoon. A new eye witness monitoring mechanism using the local police is also being rolled out to facilitate access to real time information on damage to key public infrastructures. This being said, on 9 Nov, the Government accepted an offer of assistance from the UN Humanitarian Coordinator. International capacities and response With the recent successive emergencies in the Philippines which began with the outbreak of fighting in Zamboanga City and Basilan on 9 September and the 7.2 magnitude Bohol earthquake on 15 October, the response capacities of many agencies in the HCT is overstretched. Additional surge support will be required. The UN Disaster Assessment and Coordination (UNDAC) together with the Asia-Pacific Humanitarian Partnership, Télécoms Sans Frontière and MapAction have arrived to the Philippines to assist the Government and the HCT in establishing coordination hubs and conduct initial assessments. These hubs are in Taclaban, and Roxas City as of 10 Nov. Similarly, members of the ASEAN Emergency Rapid Assessment Team have deployed to support coordination and emergency telecommunication. On 9 November, the Government announced the establishment of two forward command posts to coordinate the emergency relief operations given the widespread area affected by the typhoon. A command post was established in Tacloban City (one hub located in the airport and another in the municipal hall). to respond to the affected areas in eastern Visayas. Another post will be established in Roxas City, Capiz province for western Visayas response. Logistics support for Tacloban City will be based in Cebu while the hub for Roxas City will be in Iloilo City according. The HCT and PRC will also establish a hub in Tacloban City. Assessment of affected areas in Leyte and Eastern Samar is expected to begin within 24 to 48 hours. However, the areas covered may be limited due fallen trees and debris. The Government is in the process of establishing a major air hub in Cebu City to expedite the clearance of incoming international assistance. The RC/HC a.i. confirmed that the Humanitarian Country Team is supporting the Government through the cluster coordination mechanism. Twelve clusters, including Health, Logistics, Emergency Telecommunications, WASH, Nutrition, Education, Protection, Emergency Shelter, Camp Coordination/Camp Management, Early Recovery, Livelihoods and Food Security and Agriculture, are working with partners to ensure initial assessments and rapid response. On the morning of 9 November, two UNDAC Teams have deployed to Tacloban City. One Assessment Team is based at Tacloban Airport, a second one at Tacloban City townhall. UNDAC established a preliminary office at the airport to brief and coordinate incoming international responders. Additional Teams are expected to deploy on 10 November to Iloilo and Roxas cities. PRC teams have been deployed and are continuing to conduct assessments throughout the affected areas. An inter-agency mission traveled throughout Bohol (site of the 15 Oct earthquake) and found that damage was relatively light. HCT members have mobilized personnel, pre-positioned stockpiles (such as hygiene and WASH kits, emergency shelter, reproductive health supplies, child friendly spaces, water bladders, and ready to eat food), alerted partners along the typhoon’s path and notified suppliers for additional relief materials. Ongoing programmes in Visayas and Mindanao may also be tapped to provide additional support if needed. Logistics was also identified as a huge challenge given the depletion of existing stockpiles due to multiple emergencies in the Philippines. Additional airlifts may increase the cost of transporting additional materials. To augment data from the joint rapid needs assessment, the Digital Humanitarian Network has been activated to support the humanitarian response. Triangulated results will be geo-tagged and shared to support the assessment. Philippines Cluster Educatio n Sector Emergency Shelter Cluster ETC Cluster Fo o d Security Cluster Health Cluster Liveliho o d Cluster Lo gistics Cluster Nutritio n Cluster P ro tectio n Cluster WA SH 2007 Activated CCCM 2007 Activated Cluster 2007 Activated Cluster 2007 Activated A griculture 2007 Activated Coordination arrangement 2007 Activated DOH 2007 DSWD Activated DOH 2007 OCD Activated DSWD 2007 DOH Activated DSWD 2007 OCD Activated DSWD 2007 DepEd Activated DSWD 2007 DA UNICEF Yes UNHCR No Yes UNICEF No No WFP No No ILO No No No WHO No No No WFP No No No WFP No No No IFRC No No No UNICEF/SC No No No IOM No No No FAO If IASC endorsed clusters, current state Activated Year of cluster activation In-country lead agency (national level) Full-time cluster/sector coordinator No No No In-country co-lead agency (national level) Information manager No No Yes No Yes No Yes Dedicated monitoring & reporting officer No Yes Yes TBC Yes Yes No Yes Yes Yes Yes Yes No Yes Yes Yes No Yes Yes No No Yes National NGO participation Yes TBC No Yes Yes Yes Yes Yes Yes Yes TBC TBC TBC Yes Yes Yes No Yes No Yes No Yes Yes Yes Yes Yes No Yes No Yes Yes No Yes No No No No Yes No Yes Yes Yes No Yes No No Yes Government participation/co-chairing Yes Yes Yes Yes No Yes Yes No Yes TBC TBC TBC TBC TBC TBC Yes Cluster/sector coordination at the sub-national level Yes NGOs as leads/co-leads of sub-national coordination No Clusters/sectors ensure coordinated needs assessment Yes Yes Yes Yes Yes Yes No Yes No No No No Yes No Yes Yes Yes Yes Regular performance review & corrective action No Yes Cluster/sector provides information for planning & monitoring Yes Existing cluster/sector strategic plan No Yes No Yes No Yes No No Yes No No Yes Yes No Yes Yes No Yes Cluster/sector strategy implementation monitoring No Existing exit/transition strategy No Yes The following chart details the current cluster arrangeme nts in the Philippines: Participation in inter-cluster/sector coordination mechanism Yes Cluster Coordina tion Arrange ments 3. Access and Gaps Humanitarian Access Telecommunication and electricity remain interrupted. Airports and some seaports are closed. Roads are reported blocked due to falling trees and debris Coverage and Gaps (TBD) Camp Coordination and Camp Management Early Recovery Lack of access to majority of severely affected barangays in 36 provinces due to debris and severely damaged transport and communication facilities. Debris clearance will facilitate humanitarian access. Lack of information of extent of damage due to cut off communications between the Provincial Government and affected municipalities and barangays. Most community infrastructures were destroyed adding to the humanitarian crisis and require immediate restoration. Diminished and low capacity of affected local governments to provide services and coordination support. Deployed ER coordinators and needs assessment team. Further deployment from HQs to establish early recovery coordination system at the national and local levels. Connected with networks of NGOs serving as members and implementing partners of ER Cluster. Allocation of initial funding for initiating debris clearing through cash-for-work. Education Food Security and Agriculture Health Response by Department of Health (DoH) as of 6 PM 08 November 2013 (NDRRMS Sitrep No. 7) Code white for hospitals with standby response teams in all affected Regions. Code Blue activated in all of the affected Regions. Prepositioned assorted drugs, medicines and first aid kits to the provinces of Region VI, VII and VIII Assigned Rapid Assessment Teams and Surveillance Teams in (6) provinces; Stationed medical and surgical teams at BRTTH and Bicol Medical Centre. Prepositioned the following: o 150-200 hygiene kits in six (6) provinces o 1,839 hygiene kits o 15 barrels of chlorine granules o 5,000 bags on credit sales with NFA to be given to LGUs o 2,000 family packs Nutrition Protection Emergency Shelter According to The Philippines Red Cross (PRC), prior to the storm’s arrival 10 units of IFRC tents were issued as health emergency tents. Additionally, the PRC deployed standby response units trained to implement emergency shelters. Currently, schools are being used as emergency shelters. However, there is concern that public buildings won’t be able withstand the winds. (Reuters) NGO, Save the Children, plans to distribute temporary school tents. Water, Sanitation and Hygiene Emergency Telecommunications* Logistics* 4. Most likely scenario At this early stage it is hard to know for certain the scale and scope of this emergency. Clearly there is very severe damage and widespread humanitarian needs in and around Tacloban. Reports of various degree of damage have been received from Samar, Leyte, Cebu, and Aklan and Capiz. The Government has accepted the offer of humanitarian assistance. Most likely a large scale humanitarian operation will be conducted, led by the Government, support by the international humanitarian community, local NGOs, bilateral assistance from UN member states is also expected raising the need for civil/military coordination. An action plan, prioritizing actions on behalf of the international community and the needed resources will be launched shortly. Baseline - extracted from World Bank data website Philippines 2008 2009 2010 2011 2012 2009 2010 2011 2012 2008 2009 2010 2011 2012 15.9 16.2 16.6 17 14 15 15 16 2008 2009 2010 2011 2012 Total net enrolment ratio in primary education, both sexes 88.1 88.7 Total net enrolment ratio in primary education, boys 87.1 87.9 Total net enrolment ratio in primary education, girls 89.2 89.5 2008 2009 2010 2011 2012 28.5 27.4 26.4 25.4 2008 2009 2010 2011 22.6 21.7 21 20.2 2008 2009 2010 2011 92 88 80 79 2008 2009 2010 2011 2012 2012 1.1 Proportion of population below $1 (PPP) per day Population below $1 (PPP) per day, percentage 18.4 Population below national poverty line, total, percentage 26.5 Population below national poverty line, urban, percentage Poverty gap ratio at $1 a day (PPP), percentage 3.7 2008 1.2 Prevalence of underweight children under-five years of age Children under 5 moderately or severely underweight, percentage 20.7 1.3 Proportion of population below minimum level of dietary energy consumption Population undernourished, percentage Population undernourished, millions 1.4 Net enrolment ratio in primary education 1.5 Under-five mortality rate Children under five mortality rate per 1,000 live births 2012 1.6 Infant mortality rate Infant mortality rate (0-1 year) per 1,000 live births 2012 1.7 Proportion of 1 year-old children immunized against measles Children 1 year old immunized against measles, percentage 1.8 Maternal mortality ratio Maternal mortality ratio per 100,000 live births 99 2008 2009 2010 2011 People living with HIV, 15-49 years old, percentage (lower bound) 0.1 0.1 0.1 0.1 People living with HIV, 15-49 years old, percentage 0.1 0.1 0.1 0.1 People living with HIV, 15-49 years old, percentage (upper bound) 0.1 0.1 0.1 0.1 1.9 HIV prevalence among population aged 15-24 years www.unocha.org The mission of the United Nations Office for the Coordination of Humanitarian Affairs (OCHA) is to mobilize and coordinate effective and principled humanitarian action in partnership with national and international actors. Coordination Saves Lives HIV prevalence rate, women 15-49 years old, in national based surveys HIV prevalence rate, men 15-49 years old, in national based surveys AIDS deaths (lower bound) 200 500 500 500 AIDS deaths 500 500 500 500 AIDS deaths (upper bound) 500 1000 1000 1000 HIV incidence rate, 15-49 years old, percentage (lower bound) 0.01 0.01 0.01 0.01 HIV incidence rate, 15-49 years old, percentage (mid-point) 0.01 0.01 0.01 0.01 HIV incidence rate, 15-49 years old, percentage (upper bound) 0.01 0.01 0.01 0.02 2008 2009 2010 2011 2012 2012 2.0 Incidence and death rates associated with malaria Notified cases of malaria per 100,000 population 145 Malaria death rate per 100,000 population, all ages Malaria death rate per 100,000 population, ages 0-4 2008 2009 2010 2011 Tuberculosis prevalence rate per 100,000 population (mid-point) 548 520 502 484 Tuberculosis prevalence rate per 100,000 population (lower bound) 487 459 441 425 Tuberculosis prevalence rate per 100,000 population (upper bound) 612 584 566 546 Tuberculosis death rate per year per 100,000 population (mid-point) 32 31 30 29 Tuberculosis death rate per year per 100,000 population (lower bound) 30 28 27 26 Tuberculosis death rate per year per 100,000 population (upper bound) 34 34 33 33 Tuberculosis incidence rate per year per 100,000 population (mid-point) Tuberculosis incidence rate per year per 100,000 population (lower bound) Tuberculosis incidence rate per year per 100,000 population (upper bound) 285 280 275 270 233 230 227 223 2.1 Incidence, prevalence and death rates associated with tuberculosis 342 335 328 322 Tuberculosis detection rate under DOTS, percentage (lower bound) 45 48 54 64 Tuberculosis detection rate under DOTS, percentage (upper bound) 67 70 79 93 2008 2009 2010 2011 Tuberculosis detection rate under DOTS, percentage (mid-point) 54 57 65 76 Tuberculosis treatment success rate under DOTS, percentage 88 89 91 2008 2009 2010 2012 2.2 Proportion of tuberculosis cases detected and cured under directly observed treatment short course 2011 2012 2011 2012 2.3 Proportion of land area covered by forest Proportion of land area covered by forest, percentage 25.7 2008 2009 2010 2.4 Proportion of total water resources used Proportion of total water resources used, percentage 17 2008 2.5 Proportion of population using an improved drinking water source 2009 2010 2011 2012 Proportion of the population using improved drinking water sources, total Proportion of the population using improved drinking water sources, urban Proportion of the population using improved drinking water sources, rural 92 92 92 92 93 93 93 93 91 91 92 92 2008 2009 2010 2011 Proportion of the population using improved sanitation facilities, total 72 73 74 74 Proportion of the population using improved sanitation facilities, urban 78 79 79 79 Proportion of the population using improved sanitation facilities, rural 67 68 69 69 2008 2009 2010 2011 2012 2010 2011 2012 2012 2.6 Proportion of population using an improved sanitation facility 2.7 Proportion of urban population living in slums Slum population as percentage of urban, percentage 40.9 Slum population in urban areas 18301720 2008 2009 2.8 Fixed telephone lines per 100 inhabitants Fixed telephone lines per 100 inhabitants Fixed telephone lines 4.52 4.47 3.58 3.75 4.08 4076140 4100000 3335398 3555951 3939000 2008 2009 2010 2011 2012 2.9 Mobile cellular subscriptions per 100 inhabitants Mobile cellular subscriptions per 100 inhabitants 75.54 82.43 89.16 99.3 Mobile cellular subscriptions 68117167 75586646 83150138 106.77 94189795 103000000 2008 2009 2010 2011 2012 6.22 9 25 29 36.24 3.0 Internet users per 100 inhabitants Internet users per 100 inhabitants Internet users Personal computers per 100 inhabitants Personal computers