PHILIPPINES HEALTH CLUSTER BULLETIN ISSUE #15

Photo: WHO / Francisco Guerrero

28 February 2014

HIGHLIGHTS TYPHOON YOLANDA  The Department of Health (DOH) with the support of World Health Organization (WHO) developed a photobook cataloguing 31 out of 96 damaged Community Health Centers in Eastern Samar and providing detailed information on the damages and the estimated costs for repairs to support the rehabilitation and rebuilding of the health facilities. 

A Geographic Information Systems (GIS) expert from WHO is comprehensively mapping accessibility to Emergency Obstetric and Neonatal Care in Region VIII.



In order to improve diagnostic laboratory capacity in the typhoon-affected areas, eight additional units providing diagnostic services for suspected TB and MDR-TB (Multi Drug Resistant Tuberculosis) through rapid, fully-automated molecular techniques (Xpert) will be installed at selected health facilities. Training of medical technologists has also been undertaken.



In Tacloban and Ormoc, core and supplemental trainings on the Mental Health Global Action Program (mhGAP) for primary health care doctors and nurses were conducted. In Eastern Samar, the core training is ongoing.

BOHOL EARTHQUAKE  The revised Bohol Earthquake Action Plan was issued by the Philippine Humanitarian Country Team in collaboration with partners. 

30 identified damaged Barangay Health Stations and Rural Health Units are currently being set up with medical dispensary tents in coordination with local partners.

Inside this bulletin: 

Typhoon Yolanda page 2



Bohol Earthquake page 10

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Health Cluster Partners page 11

PHILIPPINES HEALTH CLUSTER BULLETIN 28 February 2014

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TYPHOON YOLANDA SITUATION OVERVIEW 16 078 181

4 095 280 DISPLACED

28 626 INJURED

6 201

1 785 MISSING

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

According to the Department of Social Welfare and Development (DSWD) as of 17 February 2014 1,455 family-survivors of Yolanda have already transferred to 60 bunkhouses built by the government in Eastern Visayas. Of these, 224 families are in the Motocross Bunkhouse in Tacloban City; 81 families in Palo, Leyte; 429 families in Ormoc City; 50 families in Basey, Samar; and, 673 families in Eastern Samar. DSWD secretary Corazon Juliano-Soliman also emphasized that houses identified to be within 40 meters from the shoreline will no longer be allowed to be rebuilt in the same area. In the recently concluded Regional Disaster Risk Reduction and Management Council (RDRRMC) meeting held at Leyte Sports Development Center, in Tacloban, Senior Superintendent Pablito Cordera of the Bureau of Fire Protection in the region reported that 30 dead bodies were recovered by the team from 4 February through 17 February 2014 in different areas in the city. Most of

the dead were retrieved in San Jose District, one of the coastal barangays less affected by the storm surges. Eleven were found on 4 February 2014, one on 6 February, two on 8 February, five on 11 February, three on 13 February and eight were retrieved on 17 February. All of these were brought to the grave site at Holy Cross Cemetery for burial after forensic information collection by National Bureau of Investigation teams. According to the Department of Education Regional Task Force there are still seven schools in Tacloban which are being used as evacuation centers for 556 Yolanda-displaced families with 2,347 people. The government of the Philippines is currently working with the Asian Development Bank and the World Bank to establish a Yolanda Multi Donor Trust Fund (MDTF). According to the Department of Finance (DOF), the move is envisioned to serve as an overall platform in mobilizing reconstruction resources from a wide

range of development partners, including overseas private sector and philanthropic foundations/ organizations. In a statement, the DOF said the facility will support priority investment projects, livelihood initiatives and technical assistance for capacity building geared towards rehabilitation and recovery guided by the principle, 'Build Back Better'. President Aquino attended the groundbreaking of the new Eastern Visayas Regional Medical Center in Barangay Cabalawan, Tacloban City on 25 February 2014. UN Under-Secretary-General for Humanitarian Affairs and Emergency Relief Coordinator Valerie Amos visited the Philippines on 26 and 27 February to assess the humanitarian response almost four months after the Typhoon struck the country. Amos travelled to Guiuan and Tacloban and met with representatives of the Government, local authorities, humanitarian partners and affected communities.

RESPONSE Health care facilities Across typhoon-affected areas, dialogue and coordination on the need for rehabilitation of health facilities continued with many partners already committed to support specific projects, but significant gaps remain.

The Department of Health (DOH) with the support of WHO is utilizing a unique and innovative approach to support the rehabilitation and rebuilding of Typhoon affected Community Health Centers (CHCs). Under the title “Rising Anew - Health at the

PHILIPPINES HEALTH CLUSTER BULLETIN 28 February 2014

heart of healing” a photobook has been developed and will be disseminated to health partners and the public in the coming weeks. The 92 page document is presenting 31 out of 96 damaged CHCs, focusing on the most damaged in Region VIII. 2

Each facility is presented with photos and a profile that includes information on the exact location, the workforce, the services delivered and the population served as well as the extent and description of damages and the approximate

cost for repairs of infrastructure and equipment according to assessments done by the National Center for Health Facility Development. It also introduces the DOH health facility standards and national building codes as well as

other guidance materials for reconstruction like the safe hospitals principles. A website that will also include similar information for hospitals and barangay health stations is currently being developed (Figure 1 - 2).

Figure 1 - 2. Partially damaged Community Health Center in Jaro, Leyte This CHC delivers services including immunizations, maternal, newborn and child health and communicable disease surveillance to a population of 42,860. The roofing of this building was completely destroyed, parts of the walls were damaged and the windows were broken when Typhoon Yolanda made landfall in the Philippines on 8 November 2013. The total cost of damage to this health facility is estimated at 2,450,000 PHP

Partners and Foreign Medical Teams As of 24 February 2014, there are now 12 foreign medical teams operating in Regions VI, VII and VIII. Seven teams provide basic outpatient care (type I) and three teams (MSF Belgium in Guiuan and MSF France in Tacloban) provide more advanced health services including surgeries (type II). Two teams provide mobile health clinics and mental health and psychosocial support.

Surveillance and communicable disease control Highlights from the EWARN report this week are below. For more in-depth information please refer to the weekly EWARN report that is available online at: http://www.wpro.who.int/ philippines/typhoon_haiyan/ reports/en/index.html This week, 41 health facilities in typhoon-affected areas of Region VI and VIII reported 8,697 total consultations through SPEED (Table 1). Acute respiratory infection accounted for 37% of total consul-

tations and is still the leading cause of consultation amongst the SPEED conditions. Suspect measles cases continue to be reported from Region VIII. A total of 180 suspect cases of measles with two deaths were reported in Eastern Visayas since the typhoon. A measles immunization campaign has been conducted in the region targeting children aged under 5 years.

Table 1: Summary of SPEED Reporting in Typhoon Yolanda affected Areas 16 – 22 Feb 2014 Region

Provinces

Municipalities

VI

(#) 2

(#) 8

VIII

2

26

PHILIPPINES HEALTH CLUSTER BULLETIN 28 February 2014

Health Facilities and Reporting Sites (#) 9 32 3

A Program Implementation Review on Event-based Surveillance and Response (ESR) with the Disease Surveillance Officers in 17 regions, including the Research Institute for Tropical Medicine is ongoing. It aims to raise issues and concerns on the overall functionality of ESR and identify strengths and areas for improvement for both national and regional level. One of the highlights of the event is the handson training on the newly developed computer-based information system: Event-based Surveillance and Response System which will provide near real-time data on potential and confirmed disease outbreaks and other public health events.

ment hospital (AMDMH in Balangiga, Quinapondan Community Hospital, Oras District Hospital) for additional management of suspected measles cases.

Vaccination and cold chain As of 18 February 2014, 180 suspect cases of measles including two deaths were reported by the Department of Health in Eastern Visayas. Of these, 87 cases (86 suspects and 1 laboratory confirmed) including one death were reported from 15 municipalities in Eastern Samar between 12 December 2013 and 21 February 2014.

Dengue and vector control As of 18 February 2014, 470 suspected cases of dengue fever including two deaths were reported by the Department of Health in Eastern Visayas. Although there have been clusters of suspect dengue in the typhoon affected areas, the disease has not reached epidemic levels. Vector control measures, like targeted fumigation, have been intensified in the whole Region VIII; however indiscriminate fogging has been discouraged by health authorities. Community campaigns on self-protection methods are on-going and the DOH is recommending the public to heed expert advice to search and destroy the breeding sites of mosquitos. In Eastern Samar, spraying has been conducted giving priority to barangays with clustering (Balangiga, Giporlos and Lawaan) and a larval survey is

Immunization with measles mono valent vaccines started 25 November 2013 in Eastern Samar, targeting 26,508 children aged under 5. As of 21 February 2014, 19,303 children in 11 municipalities in Eastern Samar have been vaccinated. No adverse events after immunizing were reported. The door-to-door mop up immunization will be strengthened. Vitamin A capsules were given to the govern-

TB In Leyte province, a measles immunization campaign was conducted in 10 municipalities and Tacloban city, covering 30 barangays. A rapid coverage survey of the measles outbreak response immunization campaign was conducted between 19 and 22 February 2014 in Tacloban City. The cold chain plan has been finalized; equipment and training on cold chain management and vaccine management will be provided.

PHILIPPINES HEALTH CLUSTER BULLETIN 28 February 2014

currently ongoing to determine the vector density and assess the risk of outbreak.

In order to improve diagnostic capacity in the typhoon-affected areas further, DOH has planned to install eight additional units providing diagnostic services for suspected TB and MDR-TB (Multi Drug Resistant Tuberculosis) through rapid, fullyautomated molecular techniques (Xpert). One unit will be installed in Region VI (Sara RHU in Sara city, Iloilo province), two in Region VII (PHO-Bohol in Tagbilaran city, Bohol province; Bogo CHO in Bogo city, Cebu province) and five in Region VIII (Ormoc CHO in Ormoc city, Leyte province; Maasin CHO in Maasin city, Southern Leyte; Northern Samar Provincial Hospital, Northern Samar province; Calbayog CHO in Calbayog city, Western Samar; Eastern Samar Provincial Hospital in Eastern Samar province). In collaboration with the National TB Reference Laboratory, WHO has supported the training on Xpert testing of 22 medical technologists from typhoon-affected areas.

Mental health and psychosocial support (MHPSS) In Tacloban and Ormoc, core and supplemental trainings on the Mental Health Global Action Program (mhGAP) for primary health care doctors and nurses were conducted. In Eastern Samar, the core training is currently ongoing under the banner name Project LuISS which stands for

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Lusog-Isip para sa Silangan Samar (Mental Health for Eastern Samar). The mhGAP is the WHO programme to scale up care for mental, neurological and substance use disorders. It was launched by the WHO DirectorGeneral in 2008. The focus is on increasing non-specialist care, including primary healthcare, to address the unmet mental health needs of people all over the world. In Tacloban, the mental health and psychosocial support (MHPSS) working group updated the psychosocial support strategy and developed key messages on MHPSS that are currently translated into different local languages for dissemination. In Borongan the MHPSS working group of Eastern Samar held a meeting for the development of training protocols for the Mental Health Gap Action Programme organized jointly by PHO and WHO.

Reproductive Health (RH) A reproductive health expert from WHO is conducting a comprehensive inventory of the available maternal and child health services, facilities and human resource in the disaster affected areas focusing on the BEmONC and CEmONC capability of the health facilities. The first round of site visits is ongoing in the Inter Local Health Zones of Lyete province and will last until 5 March 2014. An estimated 3.5 million women of child-bearing age require special needs and protection in the

typhoon affected areas area. More than 250,000 women are pregnant and about 170,000 are breastfeeding mothers with babies up to six months of age. Since the beginning of February, a total of 4 RH Medical missions were conducted in Region VIII (2 in Ormoc, 1 in Leyte, 1 in Guian) attending 650 pregnant and lactating women (PLWs) and 550 non-PLWs. A total of 17 women friendly spaces (WFS) breast-feeding spaces were established in different evacuation centers in the affected areas and more than 3,000 dignity and hygiene kits were distributed over the last two weeks. On 14 February 2014 a Youth Friendly Space was setup at Balyuan Tower, Magsaysay Boulevard. Various information and advocacy campaigns on reproductive health issues will be conducted there. In Tacloban 30 youth volunteers were trained by Save the Children in peer education on adolescent sexual reproductive health. As part of the rehabilitation process, WHO is currently using geography and Geographic Information Systems (GIS) to integrate different sources of information to provide a comprehensive picture of accessibility to Emergency Obstetric and Neonatal Care (EmONC) in Region VIII. In the first phase, physical accessibility (travel time) to Compressive EmONC services before the passage of typhoon Yolanda has been estimated using a specific

PHILIPPINES HEALTH CLUSTER BULLETIN 28 February 2014

GIS extension called AccessMod (Map A). This map has then been combined with the modeled spatial distribution of births to get an idea of the corresponding accessibility coverage at the municipality level considering 2 hours of travel time (Map B). In the next phase, data to be collected in the field through an EmONC assessment, a household survey and a patient exit survey will be combined with the above mentioned maps to provide information aiming at improving accessibility to EmONC services in this Region.

Water, Sanitation and Hygiene (WASH) and Environmental Health The DOH and WHO conducted a training workshop on water quality monitoring for local government units in Leyte Park Hotel, Tacloban City on 20 to 21 February 2014. More than 30 sanitary inspectors and staff from Eastern Leyte Municipalities, Leyte Provincial Health Office and 8 CHD attended the training workshop. An action plan was prepared by the participants for follow-up activities. Assessments of the capacities of local government units (LGUs) on water quality monitoring are being conducted in Capiz, Aklan, Antique and Iloilo and will be completed on 28 February 2014. Selected rural health units will be also be assessed on the status of water, sanitation and hygiene (WASH) facilities. An assessment of capacities in health care waste management was completed in Region VI on 5

Map A. Travel time to the nearest CEmONC

PHILIPPINES HEALTH CLUSTER BULLETIN 28 February 2014

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Map B. Percentage of births within 2 hours of travel time of a CEmONC

PHILIPPINES HEALTH CLUSTER BULLETIN 28 February 2014

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19 February 2014. The assessment report including a list of items to be procured and plans for training activities in March 2014 will be finalized in the coming days. An assessment of public health needs of Motocross Bunk Houses (290 families) in Tacloban was conducted – revealing some concerns related to WASH including drainage and stagnant water. The WASH cluster coordination meeting in East Samar identified a need for strengthening health promotion and sanitation.

Nutrition A total of 87,517 (77%) children from the age of 6 - 59 months have been screened in Leyte since the typhoon. Among the 14,476 children screened during the last week, 13 new cases of severe acute malnutrition (SAM) and 73 cases of moderate acute malnutrition were identified. All SAM cases were admitted to a treatment program. A new inpatient treatment facility is now operational in Ormoc City, supported by International Medical Corps. In Region VIII, the implementation of the Community Nutrition Response Strategy is underway. Municipal nutrition action officers

and community nutrition/health workers are currently being trained in Tacloban and in Eastern Samar. Infant and young child feeding activities and screening of boys, girls and pregnant and lactating women will increase in the coming weeks as community workers scale up implementation of activities. For further information please also see the Nutrition Cluster Weekly Update available online under: https://philippines.humanitarianre sponse.info/system/files/docume nts/files/Region%20VIII%20Nutriti on%20Cluster%20Weekly%20Up date%2019%20February%20201 4.pdf

DONORS Major WHO donors: Australia, Canada, Norway, Japan, the United Kingdom and the UN Central Emergency Response Fund (CERF), Russian Federation, Sweden and the United States of America, and from the European Commission Humanitarian Aid and Civil Protection (ECHO).

PHILIPPINES HEALTH CLUSTER BULLETIN 28 February 2014

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FUNDING STATUS OF ACTION PLAN As of 24 February 2014, OCHA has updated the action plan, which is now 52% funded for the health sector.

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

Appealing Agency

Merlin & Save the Children Essential Health Services for Preventing Excess Mortality and Morbidity in Typhoon Haiyan affected Population Ensuring Access to Reproductive Health Services in the Aftermath of Typhoon Haiyan

Save the children

Provision of emergency health services to typhoon affected populations

WHO

Immediate assistance to injured and vulnerable persons affected by Haiyan typhoon in Philippines Emergency Health care, public health and referral initiatives for displaced and affected persons ‘on the move and their vulnerable host communities’ Provision of life-saving interventions for health to children 0-59 months affected by Typhoon Haiyan emergency Provision of quality medicines and developing resilience in the supply chain to avoid gaps by strengthening the department of health medicines stock Prevent increase in maternal, neonatal and child mortality post disaster through ensuring continuity of services for these more vulnerable groups Promoting mental health and psychosocial wellbeing of populations affected by Typhoon Haiyan Ensuring the health needs of older people in TyHealth care support for Typhoon Haiyan affected populations Enhancing coordination within and outside the health sector Surveillance, outbreak prevention and vaccination Local health system recovery for social and economic protection Delivery of essential health services to meet the Typhoon Haiyan emergency health response

Amount Required

Funding

% Covered

4707706

800000

10000000

1539518

15000000

11871062

79%

240000

237417

99%

1810511

431232

24%

19000569

21479078

113%

806000

488599

61%

3960422

0

0%

727961

0

0%

465000

465000

100%

3865225

0

0%

1816100

0

0%

3929850

3135870

80%

4061800

300000

7%

3524500

0

0%

400000

400000

100%

955500

0

0%

2700000

0

0%

1150800

0

0%

310000

0

0%

79431944

41147776

52%

UNFPA

17% 15%

HI IOM

UNICEF

IHP

Plan

IMC HelpAge InterIMC WHO WHO WHO WHO WV Philip-

Health assistance for disaster affected communities of inland Leyte and coastal Barangays of Tacloban municipalities of Tacloban City, Jaro, San Miguel

RI

Provision of emergency medical assistance to affected population of the Typhoon Haiyan Saving Women’s lives in Typhoon affected provinc-

MDM France

Restoration of basic health package within Concepcion Municipal Health Office area Sub total for health

AAI

Saude em

SOURCE: HTTP://FTS.UNOCHA.ORG/REPORTS/DAILY/OCHA_R32_A1043___24_FEBRUARY_2014_(03_01).PDF

PHILIPPINES HEALTH CLUSTER BULLETIN 28 February 2014

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BOHOL EARTHQUAKE SITUATION OVERVIEW 364 193

1.25 Million The revised Bohol Earthquake Action Plan (BEAP) was issued by the Philippine Humanitarian Country Team in collaboration with partners on 6 February 2014.

The requested funding for the revised BEAP is $33.8 million compared to $46.8 million in the original BEAP, as the response has moved to the early recovery phase and the needs for emergency agriculture, water, sanitation and hygiene (WASH), nutrition, health and livelihood support have been assessed and the request for funding reduced in line with the current outstanding needs. The total number of affected people has since been adjusted to 1.3 million from an initial estimate of 3.2 million. Two million people from Cebu have been ex-

DISPLACED

Currently, 30 identified damaged Barangay Health Stations and Rural Health Units are being set up with medical dispensary tents in coordination with local partners. Permanent rehabilitation of these health facilities is being undertaken. Loon District Hospital has started to provide its services from their newly constructed hospital which also sustained partial damage.

Although Typhoon Haiyan (known locally as Yolanda) did not cause significant damage on Bohol, it had a strong impact on the response, as many government and international humanitarian resources were moved from Bohol to address needs caused by Haiyan. Power was also lost in all of Bohol for three weeks.

Surveillance and communicable disease control This week 27 health facilities in the earthquake affected areas of Region VII reported 2,542 total consultations through SPEED. Of these, 34% were among children aged under five years. The municipality of Carmen remains with the highest number of consultations among the 18 reporting municipalities for this week. The top five leading consultations reported were: 

Acute respiratory infections

PHILIPPINES HEALTH CLUSTER BULLETIN 28 February 2014

2 681 IN EVACUATION CENTERS

cluded from the revised estimate. According to government assessments and figures from early January, the Bohol earthquake damaged in total 79,217 houses out of which 13,402 are totally destroyed and 65,815 partially damaged.

RESPONSE Health care facilities

223

Map C. Location of Bohol Background information On October 15, 2013, a powerful earthquake struck central Philippines. Measuring 7.2 on the Richter scale with a depth of 33km, PHILVOLCS reported the quake’s epicentre in the municipality of Sagbayan in Bohol province. The tremor was felt in Cebu, Bohol, Negros Occidental, Negros Oriental, Iloilo, Siquijor, Leyte, where houses, public buildings, roads, bridges, churches, seaports, schools, health facilities, were damaged and thousands of people dis- placed. The earthquake killed 222 people (209 in Bohol) and injured 976 (877 in Bohol). As of 3 November, 2013, PHILVOLCS recorded a total of 3,198 aftershocks, with 94 strong enough to cause alarm to the population. Aftershocks continue to be felt beyond this period. On November 8, 2013, super typhoon Yolanda (international name Haiyan) made landfall in Guiuan, Eastern Samar. Electric power cables supplying electricity to Bohol were damaged, causing power outage in the whole island and affecting the delivery of disaster relief including cold chain integrity and immunization services.

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

Hypertension

Reproductive Health



Open wounds



Bruises and skin diseases



Fever with other symptoms

An estimated 7,894 pregnant and 5,262 lactating women are in need of specialized services for prenatal, postnatal, child health, health promotion and family planning services.

Cases of suspect measles, acute watery diarrhea (AWD) and acute bloody diarrhea were reported. In the municipality of Carmen the number of consultations for AWD increased last week compared to previous weeks. The Provincial Health Office conducted environmental investigation in the municipalities of Carmen. Water quality tests using the Chromogenic Substrate Test Method showed that out of the 7 samples taken from level III sources, all (100%) were positive for the presence of total coliform and three (43%) were positive for E.coli.

The municipalities of Loon and Calape continue reporting suspect measles cases although the number of consultations declined during the last two weeks. Due to unavailability of supplies, medical technologist or staff trained in specimen collection, the Provincial Epidemiology and Surveillance Unit reported a delay in the measles laboratory confirmation.

Mental health and psychosocial support (MHPSS) UNFPA has provided training to the health sector and social workers on psychosocial support to affected people. In addition, training on establishing women friendly spaces were provided to two municipalities.

Temporary birthing facilities were set up and reproductive health (RH) kits distributed to ensure access of pregnant and lactating women (PLW) to quality reproductive health services. Ten RH medical missions have been conducted to date, reaching 871 PLW. Health information sessions have been held to raise awareness of women, adolescents and men about RH, especially safe motherhood and family planning. Damaged birthing facilities have been restored and equipped to reinforce the capacities of the local health system.

Orientation and school community mobilization for WASH interventions in 20 schools is ongoing. Hygiene and water kits for 418 families, and latrine repair kits for 319 families, were distributed. 98 communal semi-permanent latrines in communities with 4,130 individuals were constructed. Protected dug well and distribution lines were rebuilt for the Level III water system, servicing 727 families. A total of 200 sessions of hygiene promotion activities reaching 10,000 individuals were conducted.

Nutrition

The second phase of the trainingof-trainers on Essential Intrapartum and Newborn Care (EINC) was recently concluded. Basic EINC training for rural health midwives and hospital staff in the six interlocal health zones of Bohol will commence in the second week of March.

A four-part series of trainings for different target groups working in nutritional health was conducted 20-29 January. These included 45 community leaders, 30 community health workers, 26 hospital staff and a training of trainers for 45 rural health units/field health staff.

Water, Sanitation and Hygiene (WASH) and Environmental Health

UNICEF provided 50 boxes of ready-to-use food (RTUF) reaching 2,500 MAM-affected children and 28 boxes of F10 milk for SAM children.

A rapid Environmental Health Impact Assessment will be conducted in Bohol as well as several sites in the Yolanda affected areas between end of February and May 2014. The construction of 40 latrines in 35 schools with 6,898 schoolchildren, and communal latrine and hand-washing facilities for 10

PHILIPPINES HEALTH CLUSTER BULLETIN 28 February 2014

schools with 765 school children is planned.

Trainings for over 50 officials on food processing and nutritional management have been conducted. Cluster partners conducted assessments of health facilities and a comprehensive malnutrition screening. Distribution of nutrition awareness materials is ongoing.

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Health Cluster Partners National – Manila: AECID, Americares, Australian Aid, CDNDART, CFSI, ChildFund, DFID, DOH, FPOP, Handicap International, HuMa, IFRC, IHP-UK, ILO, IMC, IOM, IRC, ISAR -Germany, JICA, MERLIN, MDM, MSF, National Bureau of Investigation, PHE, Philippines Red Cross Society, Relief International, Plan International, Project Hope, PU-AMI, SCI, UNFPA, UNICEF, USAid, US Forces, WHO, World Vision.

Sub-national – Tacloban: AECID, ACF, ACTED, Action Pompiers Urgence Inlana Vionus, Americares, ARC, ASEAN, ASYA SAR/KYM, B-FAST, AUs, Bethany Hospital, Bomberos Unidos SP, Buddhist Compassion Relief zu Chi Foundation Philippines, Care, Canadian Red Cross, CDRRMO, Child Fund International, Christian Aid, City Veterinary Office, Compassionate Reach International, DFID, Doctors Worldwide Turkey, DOH, DSWD, ECHO, Emergency.LU, Engnderhealth-Visayas Health Project, Helpage International, Ericsson Response, EUCPT, First Relief Fund, First Response Radio, Fortune Blessings Foundation, F POP, Friends of Waldorf Education, Fuel Relief Fund, Family Care, Family Planning Connection, German Embassy, German Red Cross, Globalmedic, GOAL, Good Neighbours Intl., Good People Intl., Handicap International, Heart to Heart International, Helpe.V., HUMEDICA, IEDA Relief, IFRC, International Disaster Relief, International Medical Corps, Internews, INTERSOS, IOM, IsraAid, Israel Relief Coalition, JICA, JICA LEPCON, JICA SMACHS EV Proj., Jordan International Relief, KIHI, KOICA, KUSOG TACLOBAN, Leger Foundation, Magna, Med Central , Medical Team Int’l, MDM France, Medicos del Mundo Spain, Mercy in Action, Mercy Malaysia, Miral Welfare Foundation, Mission Tacloban/RTR Foundation, MSF France, MSF Holland, MSF Spain, MTI, Navis, NNC 8, OCHA, Norwegian Red Cross, Operational Blessings Mission, Oxfam, Phil Health, Philippines Red Cross Society, Plan International, Pompiers Humanitaires France, Post Crisis Counseling Network (HK), PUI France, Regional Office DOH, Relief Internation-

al, RTR hospital, RTR Mission Tacloban, Samaritan 119 Korea, Samaritan Purse US, Saude EM Portugues, Save the Children, SC, SCDN, Solidarities International, Spanish Red Cross Society, Swedish Red Cross, Tacloban City Government, Tacloban City Nutrition Office, TOMECO, TGCFI, The Salvation Army, UNDAC, UNDP, UNFPA, UNICEF, USAID, US OFDA, Vodafone foundation, Vounteer for the Visayans, WFP, WHO, WISAR, World Vision.

Sub-national – Cebu: AmeriCares, ASB Austria, Canadian Emergency Response Unit, Canadian Medical Assistance Teams, CFSI, ChildFund, DOH, Embassy of Israel, Eversly Child Sanitarium, GOAL, Glory Reborn, ICRC, IFRC, IEAD relief, Health Organization of Mindanao w/ Helping Hand relief and Development, International Medical Corps, JICA, Japan Red Cross, LandsAid, Magna Children at risk, Med Japan, The Mentor Initiative, Merlin, MSF, NYC Medics, PNA, Project hope, React Philippines, Samaritan Purse, Samu Sevilla International, SC, SCI, Spanish Red Cross Society, Saint Anthony Mother and Child Hospital, Talisay District Hospital, UNICEF, Vicente Sotto Memorial Medical Centre, WHO, World Vision.

Sub-national – Iloilo: Access Aid International, ACF, Action Aid International, ADRA, AMERICARES, ANGKLA PORTYLIST, Capiz Medical Society, Child Fund, CRWRC, DoH, Friend of Mar Roxas, ICRC, IFRC, IOM, Lung Centre of Philippines, Metropolitan Hospital, Operation Blessing, Philippine Rural Reconstruction Movement, Professional Regulatory Board of Psychology, Project Hope International Health, NETHOPE, Red Cross Capiz, Regional Health Office Mental Health Team, RN Response Network, Rotary Club, Save the Children, UNDAC, UNFPA, UNICEF, WFP, WHO, World Vision International, Zuellig Foundation.

Sub-national – Guiuan / Borangan: DOH, Family Organisation of the Philippines, Health in Portugese, ICRC, IOM, Medical Team International, Norwegian Church aid, PHTO, Plan International, Radio Bakdaw. UNFPA, UNICEF.

Sub-national – Ormoc: AusAID, Australian Army, CMAT, ChildFund, Clarion Global Response IMAT, COSE, CFSI, COPAP, DOH, HelpAge International, HuMA, IFRC, IsraAID, IRC, Johanniter International Assistance, KMA, Magna Children at Risk, MDM France, MDM Spain, Mercy Malaysia, MSF, OCA, Ormoc City Health Office, Ormoc District Hospital, Philippine Army, Philippines Red Cross, PAC, Pureworks Foundation, Merlin-Save the Children International, SADC-Swiss Humanitarian Aid, Singapore Red Cross, UNICEF, Vestergaard, WHO, World Vision.

Sub-national – Bohol: UNFPA, Philippines Red Cross Society, UNICEF, MERLIN, IOM, DOH.

Sub-national – Zamboanga: ACF International, Ateneo de Zamboanga University, Brent Hospital and Colleges, Inc., Camp Navarro General Hospital, City Health Office - Zamboanga City, Community and Family Services International (CFSI), Department of Education IX, Department of Health - Zamboanga Peninsula, Department of Social Welfare and Development IX, Family Planning Organization of the Philippines (FPOP), Holy Rosary Family Center, International Committee for the Red Cross, Katilingban , MERLIN, Office of the City Social Welfare and Development, Philippine Red Cross - Zamboanga Chapter, Philippine Obstetrics and Gynecology Society Zamboanga Chapter (POGS), POPCOM IX, Save the Children, UNFPA, UNICEF, Western Mindanao State University, Zamboanga City Medical Center, Zamboanga Evangelical Disaster Response Network.

Health Cluster Contacts National- Manila: [email protected] Sub-national- Tacloban: [email protected]; [email protected] Sub-national- Cebu: [email protected] Health Cluster Website:http://www.wpro.who.int/philippines/typhoon_haiyan/en/ Please send any information on potential disease outbreaks to: [email protected] PHILIPPINES HEALTH CLUSTER BULLETIN 28 February 2014

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