YALE/TULANE ESF-8 PLANNING AND RESPONSE PROGRAM SPECIAL REPORT

BOHOL, PHILIPPINES - EARTHQUAKE LINKS

NATIONAL RESPONSE

WEATHER OUTLOOK

17 OCTOBER 2013

CONTACTS AND LINKS

SITUATION

PHILIPPINESNational Disaster Risk Reduction and Management CouncilPhilippine Institute of Volcanology and Seismology (PHIVOLCS) Department of Social Welfare and DevelopmentDepartment of Health Official Gazette

INTERNATIONAL/REGIONAL RELIEFWEB

EUROPEANHumanitarian Aid and Civil Protection

UNITED STATESThe Department of StateUS Embassy – The Philippines PACOM

HEALTH INFORMATIONCDC - Earthquake WHO- Earthquake

PORTALS AND RESOURCESASEAN Coordinating Center for Humanitarian Assistance on Disaster ManagementGDDACPrevention Web – Philippines Pacific Disaster CenterThomas Reuters FoundationHumanitarian Early Warning Service - SeismicEarthquake ReportIRISMCEEREMSCUnderground Weather

BACKGROUND

IFRC

HOSPITALS

AFFECTED AREA

INJURED DEAD

374* 156**Situation is still developing

HEALTH RISKS - EARTHQUAKE

BACKGROUNDWHERE: The central Philippines island of Bohol

WHEN: 8am (Local Time) Tuesday, 15 October 2013

SITUATION: 7.2 Magnitude Earthquake

7.2-magnitude earthquake struck the central Philippines island of Bohol early Tuesday morning, a little after 8am local time. The effects of the quake was felt in Cebu city which is about 37 miles (60 kilometers) north of the epicenter.

The quake was centered about 629 kilometers south-southeast of Manila, near Carmen in Bohol province, with a depth of 33 kilometers. The earthquake intensity was measured at level '7' which is considered 'destructive'. Carmen has a population of 43,000. Cebu has a population of 866,000. There have been more than 1,213 aftershocks, 24 were felt. Residents remain fearful of returning to their homes. An earthquake with magnitude 4.9 occurred near Tagbilaran, Bohol, Philippines at 15:32:45.60 UTC on Oct 16, 2013.

DEAD: 156 (number is expected to increase).

INJURED: 374 MISSING: 22

AFFECTED POPULATION: 631,809 families / 3,209,058 people

DISPLACED POPULATION: 9,359 families / 47,067 people

DAMAGES: 2,066 houses damaged (605 total/1,461 partial)

SITREP NO.5 RE EFFECTS OF EARTHQUAKE IN CARMEN, BOHOL

AFFECTED AREA

OCHA 15 OCT 2013 http://reliefweb.int/map/philippines/philippines-bohol-earthquake-15-october-2013

http://reliefweb.int/disaster/eq-2013-000134-phl

• The central Philippines was hit by an earthquake whose center fell on Bohol, which is 2 miles away from Carmen town

• The effects of the earthquake have been felt by over 3 million people across 3 provinces and 7 different cities

CURRENT SITUATIONREPORTED INTENSITY:• Intensity VII: Tagbilaran, Bohol and Cebu City

• Intensity VI: Hinigaran, Negros Occidental, and Dumaguete City

• Intensity V: Iloilo City; La Carlota, Negros Occidental; Guimaras Island; Abuyog, Leyte; Ozamis City; Sibulan, Negros Oriental; Camiguin Island; and Gingoog, Misamis Cagayan de Oro

• Intensity IV: Masbate City; Roxas City; San Jose, Culasi , Antique; Bulusan, Sorsogon; Hinunangan, Leyte; Patnungon, Antique; Dipolog City; Bacolod City; Naval, Biliran; Bayawan City; Baybay, Southern Leyte; TabonTabon, Leyte; San Pablo, Leyte; Bato, Leyte; Guihulngan, North Oriental; Butuan City ; and Tacloban

• Intensity III: Davao City; Canlaon City; Cotabato City; La Costellana, Negros Occidental; Zamboanga City; Borongan City, Samar; Bukidnon; Tarragona, Davao; Surigao City ; Laoan, Antique; Cotabato City; Banisilan, North Cotabato; Potongan, Zamboanga del Norte; Polanco, Zamboanga del Norte; Labason, Zambaonga del Norte; Manukan, Zamboanga del Norte; Balderama, Antique; and Barbaza, Antique

• Intensity II: Nabas, Aklan ; Carrascal, Surigao del Sur; Tacurong City; and Libertad, Antique

• Intensity I: Lezo, Akla

SITREP NO.5 RE EFFECTS OF EARTHQUAKE IN CARMEN, BOHOLSITREP NO.4 RE EFFECTS OF EARTHQUAKE IN CARMEN, BOHOLSITREP NO.3 RE EFFECTS OF EARTHQUAKE IN CARMEN, BOHOLSITREP NO.2 RE EFFECTS OF EARTHQUAKE IN CARMEN, BOHOLSITREP NO.1 RE EFFECTS OF EARTHQUAKE IN CARMEN, BOHOL

CURRENT SITUATIONSHELTERS:• Inside evacuation center: 51 (5,992 families /30,359 people)• Outside evacuation centers: 1,438 families /7, 065• Some of the displaced families are staying in open spaces

rather than in community facilities for fear of further damage with continuing occurrence of aftershocks.

ROADS:• 18 bridges in Bohol remain impassable.• The Abatan Bridge that connected Maribojoc to Tagbilaran City

collapsed• The highway in Cortes particularly in Lilo-an was rendered

impassable due to a landslide. • A part of Cortes’ highway was also damaged.• The Municipal hall in Sagbayan was destroyed while the

municipal hall in Clarin was damaged.

LANDSLIDE:• Boljoon, Cebu highway• Barangay Kawasan, Aloguinsan, Cebu• Barangays Gutland, Canulam, Canbantug, Lapay, and Bulasa in

Boljoon, Cebu

SCHOOLS:• Classes at ALL LEVELS (public & private) are suspended from

Oct. 16 to Oct. 18.• The Department of Education said there is an ongoing

assessment of the structural integrity of about 2,719 schools in Bohol and Cebu.

POWER: :• The power in the distribution lines in Tagbilaran City, all towns

being served by Bohol II Electric Cooperative (BOHECO II), and Cebu province have already been as of the afternoon of 15 October

• The towns of Loay, Lila, Dimiao, Loboc, Sevilla, Panglao, and parts of Dauis and Albuquerque being served by Bohol I Electric Cooperative (BOHECO I) have been energized as of 10:00 a.m, 16 October

• .• BOHECO I is now working on restoring power in the remaining

towns. Corella, Sikatuna, Baclayon, Maribojoc, Antequera, Cortez, Carmen, Sagbayan, Batuan, Bilar, and parts of Albuquerque and Dauis is expected to have power within the day after completing some repairs and technical inspections.

• The towns of Tubugon, Calape, Loon, Inabanga, Clarin, Catigbian, Balilihan, and San Isidro, meanwhile, are expected to have power within 2 to 3 days, as NGCP is still conducting restoration of the two 69kv poles in the area.

• DOE is making final deliberations on how to deploy the 2 to 3 KW capacity generator sets to secure power in stricken areas, especially in the hospitals and other offices providing basic services.

GASOLINE: 14 gasoline stations in Bohol were closed due to damages

SITREP NO.5 RE EFFECTS OF EARTHQUAKE IN CARMEN, BOHOLSITREP NO.4 RE EFFECTS OF EARTHQUAKE IN CARMEN, BOHOLSITREP NO.3 RE EFFECTS OF EARTHQUAKE IN CARMEN, BOHOLSITREP NO.2 RE EFFECTS OF EARTHQUAKE IN CARMEN, BOHOLSITREP NO.1 RE EFFECTS OF EARTHQUAKE IN CARMEN, BOHOL

CURRENT SITUATION - MEDICALHOSPITAL DAMAGE NOTES

Cebu Doctors University Hospital, Mandaue City

Collapsed Roof Evacuated. Not safe for occupancy.

St Vincent Hospital, Cebu Cracked All staff and patients evacuated

Cebu City Medical Center, Cebu

Transported patients to Pahina Center Gym and other hospitals

Congressman Castillo Memorial Hospital, Loon

Severely damaged Rescue operations completed, Patient evacuated to basketball court.

• Center for Health Development VII (Central Visayas) raised a “Code Red Alert Status” and conducted a Rapid Health Assessment (RHA) for the region.

Cebu Doctors University Hospital show the damage resulting from the earthquake (EPOCH TIMES).

• The Department of Health reports 11 hospitals were damaged in the region, 6 of which are being operated by the DOH, 3 by the private sector and 2 by local government units.

• 3 Hospitals in Cebu City are unsafe for occupation.

SITREP NO.5 RE EFFECTS OF EARTHQUAKE IN CARMEN, BOHOLSITREP NO.4 RE EFFECTS OF EARTHQUAKE IN CARMEN, BOHOLSITREP NO.3 RE EFFECTS OF EARTHQUAKE IN CARMEN, BOHOLSITREP NO.2 RE EFFECTS OF EARTHQUAKE IN CARMEN, BOHOLSITREP NO.1 RE EFFECTS OF EARTHQUAKE IN CARMEN, BOHOL

Patients spending the night outside of Cebu City Medical Center (YouTube)

CURRENT SITUATION - MEDICAL

Doctors treat a woman outside a damaged Vicente Sotto Hospital in Cebu, central Philippines on Tuesday Oct. 15, 2013 (AP).

OCHA SITREP #2 – 16 Oct 13SITREP NO.5 RE EFFECTS OF EARTHQUAKE IN CARMEN, BOHOLSITREP NO.4 RE EFFECTS OF EARTHQUAKE IN CARMEN, BOHOLSITREP NO.3 RE EFFECTS OF EARTHQUAKE IN CARMEN, BOHOLSITREP NO.2 RE EFFECTS OF EARTHQUAKE IN CARMEN, BOHOLSITREP NO.1 RE EFFECTS OF EARTHQUAKE IN CARMEN, BOHOL

• DOH has deployed teams in Tagbilaran City to augment the medical staff there.

• Orthopedic surgeons were also sent to Bohol to assist medical teams.

• At present, two DOH teams from East Ave Medical Center and Quirino Memorial Medical Center have arrived in Bohol.

• Hospitals have been told to be prepared for an influx of patients with injuries ranging from simple lacerations to fatal crushing injuries.

• The public has been warned about the dangers associated with dusts from collapsed buildings, which could pose serious dangers to health. Dusts could clog air passages of trapped survivors and could cause severe lung problems or even death.

CARMEN - A joint team of the Department of Social Welfare and Development (DSWD) and the Humanitarian Country Team (HCT) arrived in Carmen town on 16 October, the epicenter of the quake.

According to the joint DSWD-HCT team in Carmen, a local Health Unit is destroyed and as a result, pregnant women are now giving birth in the back of an ambulance.

• There is an urgent need for medical gloves, emergency lights, antibiotics, painkillers, medicines, OB kits and oxytocin. A field district hospital is extensively damaged

• There is an urgent need for generators and latrines . The two latrines in local schools are currently serving as the hospital latrines.

• Power lines have been damaged in Carmen and water pipes are contaminated. As a result, the town of 44,000 people has no clean, drinking water.

• The logistics cluster has identified warehousing needs in Bohol province and will provide two Mobile Storage Units (MSUs) - one at the airport and another in the city.

WEATHERBOHOL, PHILIPPINES

PHILIPPINE ATMOSPHERIC, GEOPHYSICAL AND ASTRONOMICAL SERVICES ADMINISTRATION (PAGASA)WEATHER UNDERGROUND

Visayas will experience cloudy skies with light to moderate rain showers and thunderstorms.

Winds will be light to moderate coming from the northeast with slight to moderate seas.

Chance ofPrecipitation60%Thursday, 17

90| 77°F

Chance of T-storms

Chance ofPrecipitation30%Monday, 21

90 | 77 °F

Chance of T-storms

Chance ofPrecipitation40%Friday, 18

90 | 75°F

T-Storms

Chance ofPrecipitation40%Saturday, 19

90 | 77 °F

Chance of T-storms

Chance ofPrecipitation60%Sunday, 20

90 | 77 °F

Chance of T-storms

Chance ofPrecipitation20%Tuesday, 22

90 | 75 °F

Chance of T-storms

MT Satellite image 17 October 2013http://www.pagasa.dost.gov.ph

Chance ofPrecipitation0%Wednesday 23

90 | 75°F

NATIONAL RESPONSE

• The Department of Social Welfare & Development has deployed 6 additional personnel to assist with managing evacuation centers, relief distribution, etc.

• The Philippines National Police has also deployed 271 personnel and 17 vehicles from Bohol.

• The Philippine Coast Guard Central Visayas SAR Teams/Emergency Units are on standby and ready to dispatch for relief operations in coordination with DSWD and DOTC (Department of Transportation and Communications).

• The Department of Public Works and Highways deployed personnel to evaluate structural soundness of affected areas. The Armed Forces of Philippines set alerts to address collapsed structures.

• The Department of Education began identifying alternative classrooms in affected areas for possible resumption of classes.

• The Professional Regulation Commission (PRC) of Bohol

conducted assessment and served hot meals to 3000 Bohol Cultural Center & Sports Complex.

• The Office of Civil Defense and the National Disaster Risk Reduction and Management Council (NDRRMC) held a press briefing 16 October to give updates on the effects of the earthquake.

• A total of 1,267800 pesos (29,374.93 USD) worth of food and non-food items have been provided by the Rotary Club of Cebu, Cebu City and Mandaue City. The Department of Trade & Industry has deployed 11 teams to monitor emergency supply levels and prices.

Philippine Coast Guard (PCG) personnel load frying fans and relief goods onto a PCG vessel at a port in Manila on October 16, 2013. (Photo credit: Getty Images)

SITREP NO.3 RE EFFECTS OF EARTHQUAKE IN CARMEN, BOHOL SITREP NO.4 RE EFFECTS OF EARTHQUAKE IN CARMEN, BOHOL

RED CROSS AND RED CRESCENT ACTION

• Philippine Red Cross (PRC) volunteers and staff in the Cebu, Lapu-Lapu City, Negros Oriental and Siquijor were mobilized immediately after the earthquake to verify incoming damage reports.

• PRC Cebu City and Bohol chapters deployed rescue teams to affected areas in their respective provinces to evaluate the damage from the earthquake and to support local government unit rescue efforts

• Assessment and rescue teams were also deployed in Barangay Oslob, Carcar City (South of Cebu) to verify a reported landslide

• In Cebu City, local chapters set up First Aid stations and welfare desks to provide medical assistance and welfare services to affected individuals. Ambulances were likewise deployed to Cebu City Medical Center to transport patients to Vicente Sotto Medical Memorial Center.

• Local chapter in Bohol will serve hot meals to 200 families who were affected by the earthquake and are currently in the evacuation center

• Operations centers at the national headquarters and respective chapters are continuously monitoring the situation.

• PRC has made ready its preparedness stocks for at least 15,000 families in Manila including hygiene kits and non-food items (blankets, jerry cans, sleeping mats and mosquito nets).

• PRC Secretary General Gwendolyn Pang has instructed teams from national headquarters to immediately send a generator set to Bohol Chapter for the smooth operation of the blood bank.

• Field tent hospitals will be set up in evacuation centers as well as water bladder and ready to eat meals.

• The International Federation of Red Cross and Red Crescent Societies (IFRC) and Partner National Societies with offices in country are on standby for joint assessments and to support PRC action, if required.

Philippines National Red Cross Update – 16 OctoberIFRC INFO BULLETIN #1 - 15 OCT 2013

HEALTH RISKS - EARTHQUAKE

SOURCE: CDC| WHO| CDC- CRUSH INJURIES

IMMEDIATE RISKS

Earthquakes cause high mortality resulting from trauma, asphyxia, dust inhalation (acute respiratory distress), or exposure to the environment (e.g., hypothermia).

• Wounds and Injuries will be numerous due to the initial impact of the earthquake and subsequent rescue and clean-up activities.

– Crush injury is defined as compression of extremities or other parts of the body that causes muscle swelling and/or neurological disturbances in the affected areas of the body. Typically affected areas of the body include lower extremities (74%), upper extremities (10%), and trunk (9%).

– Crush syndrome is localized crush injury with systemic manifestations. These systemic effects are caused by a traumatic rhabdomyolysis (muscle breakdown) and the release of potentially toxic muscle cell components and electrolytes into the circulatory system. Crush syndrome can cause local tissue injury, organ dysfunction, and metabolic abnormalities, including acidosis, hyperkalemia, and hypocalcemia.

– Risk of wound infection and tetanus are high due to the difficulties with immediate access to health facilities and delayed presentation of acute injuries.

– Gangrene is a complication of wound contamination and prompt wound treatment is critical for its prevention. Gangrenous wounds should be managed aggressively, with surgical removal of gangrenous tissue. There is no risk of transmission of gangrene to unaffected persons.

– Slipping and tripping hazards/Falling objects: precaution when dealing with collapsed structures and debris for sharp objects, holes and/or protruding objects.

– Burns and electroshocks may be observed; exposure to fire, exposed electrical wiring and spilling of chemicals and natural gas (highly flammable)

– Respiratory illness/distress: exposure to dust and environmental pollutants, including asbestos and silica.

EARTHQUAKE AND COMMUNICABLE DISEASES

Earthquakes may increase the transmission of the following :

• Water/Sanitation/Hygiene-related and Foodborne Diseases – Displaced populations are at high risk from outbreaks of water, sanitation,

and hygiene and foodborne-related diseases due to reduced access to safe water and sanitation systems.

– Disruption of usual water sources and contamination of water by damaged sewage infrastructure may result in unsafe drinking water

• Diseases Associated With Crowding

– Population displacement can result in overcrowding in resettlement areas, raising the risk of transmission of certain communicable diseases that are spread from person to person through respiratory droplets such as measles, diphtheria and pertussis (see section below on vaccine-preventable diseases), and acute respiratory infections or ARI. This risk is increased with inadequate ventilation.

– Overcrowding can also increase the likelihood of transmission of meningitis, waterborne and vector-borne diseases in the weeks and months following the earthquake.

– Stray animals , rodents and insects are able to transmit a number of diseases (malaria, dengue, rabies, etc.) ; removal of debris, garbage and waste for pest control is necessary.

– Immunization against endemic communicable diseases recommended.

NOTES: previous experience with earthquakes that caused major structural damage has demonstrated that the incidence of crush syndrome is 2-15% with approximately 50% of those with crush syndrome developing acute renal failure and over 50% needing fasciotomy. Of those with renal failure, 50% need dialysis.

NOTES: previous experience with earthquakes that caused major structural damage has demonstrated that the incidence of crush syndrome is 2-15% with approximately 50% of those with crush syndrome developing acute renal failure and over 50% needing fasciotomy. Of those with renal failure, 50% need dialysis.

POINTS OF CONTRACT

RED CROSSFor further information specifically related to this operation, please contact: • Philippine Red Cross, Manila: Gwendolyn Pang, secretary-general;

phone +63 2 525 5654; fax +63 2 527 0857; email: gwendolyn.pang@redcross.org.ph

• IFRC Philippine country office, Manila: Bernd Schell, country representative; phone +63 2 309 8622; mobile +63 928 559 7071; email: bernd.schell@ifrc.org

• IFRC regional office for Southeast Asia, Bangkok: Anne Leclerc, head of regional office; phone +66 2661 8201; mobile +66 85 661 7464; email: anne.leclerc@ifrc.org

• IFRC Asia Pacific zone office, Kuala Lumpur (phone: +60 3 9207

5700, fax +60 3 2161 0670); o Al Panico, head of operations; email: al.panico@ifrc.org o Andreas Weissenberg, operations coordinator, email:

andreas.weissenberg@ifrc.orgo Patrick Fuller, communications manager, email:

patrick.fuller@ifrc.orgo Peter Ophoff, head of planning, monitoring, evaluation and

reporting (PMER); email: peter.ophoff@ifrc.org

THE DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT (DSWD) IN CENTRAL VISAYAS • 24/7 Emergency Hotline (032) 232-9507

Office of Civil Defense Numbers• Region V - (052) 481 1656 or (052) 481 5031• Region VI - (033) 337 6671 or (033) 509 7971 • Region VII - (032) 416 5025 or (032) 253 8730

Centers for Health Development

Center for Health Development (CHD) VII - Central VisayasREGIONAL DIRECTOR: Dr. JAIME S. BARNADAS, Director IVASST. REGIONAL DIRECTOR: Dr. LAKSHMI LEGASPI, Director IIIADDRESS: Sambag II, Cebu City, PhilippinesCONTACT NO.: (032) 256-2128/253-6355FAX: 254-0109 WEBSITE: http://chd7.doh.gov.ph/