HURRICANE MATTHEW Situation Report No.10 Date: 09 October 2016 (19:30 EST) PAHO HQ- Washington DC This report is produced by PAHO/WHO in collaboration with PAHO Country Offices, Ministries of Health, and with inputs from official organizations. This report covers the period from 08-09 October 2016 at 19:30 EST. HIGHLIGHTS Hurricane Matthew has severely affected the Sud and Grand Anse Departments, particularly in the communes of Les Cayes and Jérémie, in Haiti Post-hurricane conditions are favorable for an increase in cholera cases in affected areas, in Haiti o Priorities are focused on providing access to health care, safe water, and hygienic and sanitary conditions, in addition to recovery and reinforcement of health services In the United States: o 9 confirmed fatalities: 2 in Florida, 3 in North Carolina, and 4 in Georgia o Severe flooding in North Carolina and numerous road closures throughout the affected states o 247 shelters with 13, 438 occupants throughout the four states SITUATION OVERVIEW On October 4, At 7:00am, Matthew made landfall near Les Anglais, Haiti (estimated pop. 27, 182) PAHO has deployed a total of 12 Regional Response Team Experts to 4 countries (see table below) Country PAHO Deployees Haiti Bahamas Jamaica Cuba WASH HEALTH COORD DANA LOG EMT COORD COMM 1
RESPONSE ACTIONS: HAITI The Haitian Civil Protection Agency reports that 350,000 people need assistance 336 people dead; 61, 537 people in shelters 34 (16%) CDTA s have been affected throughout the country In Randel (Sud Department) there are 26 cases of cholera, and in Jérémie (Grand Anse) there are 30 cases. The cases have increased by almost 50% over 24 hours Several hospitals in Sud and Grand Anse have been severely affected Over 29,000 houses and public infrastructure are destroyed or severely damaged PAHO/WHO: A PAHO field team has arrived in Les Cayes and delivered medical and cholera supplies PROMESS is sending medical supplies to Grand Anse today as a preventative measure due to the possibility of an increase in respiratory diseases In close coordination with all health and humanitarian partners, as well as military, government, and MINUSTAH for all response operations Cholera More cholera supplies delivered by PAHO with the support of the French Embassy to Randel Although, the rest of the country was not directly affected by the hurricane, due to the season, there are signs of increased cholera cases Health Facilities Department City Type Impact Grand Anse Jérémie St. Antoine de Jérémie Hospital -Severely damaged, except for emergency services and internal medicine -Administration has been destroyed -Outpatient clinic, pharmacy, morgue, and the CLC are very damaged (MdM is repairing the damages) Dame Marie Hospital -No information since Monday evening CDTA -Total of 6 CDTA s affected in the department -Reopened, pediatrics and maternity wings functioning normally -No electricity, water and debris/mud on floor (being cleaned) Les Cayes Hôpital de l Immaculée -Lack of human resources Conception des Cayes -3 CAN ambulances on site (HIC) -Need: psychological assistance for patients Torbeck à Roche-à- Health Centers -All health centers are damaged but functional Bateau Sud Camp Perrin Health Center -100 injured received after hurricane St. Louis de Sud Health Center -Empty Les Anglais Health center -Severely damaged (according to unconfirmed information, the hospital is completely destroyed) -10 hospitalized cases; 1 death -Functional Port Salut Hospital -Received 200 injured after hurricane Fond des Blancs St. Boniface Hospital -Fully functional -Yet to see patients, saw 100 patients on 07 Oct and 50 patients on 06 Oct, but usually receive 400 -Began active surveillance of cholera in the community with volunteers on 07 Oct CDTA -Total of 9 CTDA s affected in the department Sud-Est CDTA -Total of 4 CDTA s affected in the department Nippes CDTA -Total of 9 CDTA s affected in the department Nord-Ouest CDTA -Total of 6 CTDA s affected in the department 2
THE BAHAMAS Significant structural damage has occurred in Grand Bahama and North Andros Basic services disruptions, such as electricity, water, sewerage, and communication services, remain an issue across the Bahamian islands 4 persons have been affected; 601 persons are in shelters Andros PAHO response team member estimated that for the area of Lowe Sound, a village on the coast line of North Andros: o 100 houses sustained structural damage, of them: Grand Bahamas Currently, there is no water or electricity The most affected areas are from West End to 8 Mile Rock; PAHO response team member reported that roughly 50% of roofs were severely damaged Water and Sewerage Water and Sewerage Corp. reported that the Windsor, New Providence desalination plant suffered major damage. It was anticipated that this plant will resume promptly In Central Andros, water for the community is available at a pumping station site Government: NEMA is conducting an initial situation overview of the areas that were more severely affected by Hurricane Matthew PAHO/WHO: Health Facilities PAHO response team assessed one health facility in West End, Grand Bahama and Gambier Clinic, New Providence PAHO-BHS EOC continues to operate in a relocated area Operational Status of Health Facility Number Operational 63 Not Operational 4 Closed 10 Unknown 8 Total 85 Damages related to Hurricane Matthew Number Minor 4 Moderate 2 Severe 0 No Damage 54 Awaiting confirmation 25 Total 85 CUBA Approximately 300,000 people affected Provinces of Guantanamo and Holguin were the most affected 40-50% of health facilities were affected are partially-operating 15 health facilities were the most affected(2 hospitals and 13 health centers, approx. 650 beds) Government: MINSAP deployed 38 medical surgical brigades to the field Evaluations are ongoing 3
Delivery of essential medicines and supplies as well as human and material resources are being coordinated to the most affected areas PAHO/WHO: Close coordination with Civil Defense and MINSAP to collect information on rapid damage assessments and identify priority needs needs to DOMINICAN REPUBLIC MoPH began epidemiological surveillance 18,904 people affected; 1,039 people in 21 shelters in 14 provinces; 4 deaths 3,174 homes affected and 6 bridges collapsed 21 provinces remain under a red alert; yellow alert remains for 5 provinces and green alert for 8, due to possible flash flooding 94 aqueducts/water systems are out of service in 8 provinces; electrical systems were severely affected Health Facilities MoH reported that all affected hospitals are now functioning. Damage assessment ongoing for Hospital Municipal de Vicente Noble NEEDS Bahamas: Support recovery of affected health facilities, prevent water- and vector-borne diseases, improve water quality surveillance, and complete initial assessments to develop a Rapid Recovery Action Plan for Health Facilities Haiti: Petit Goave Hospital requested essential medicines and supplies. A request has been placed through GOARN for additional staffing for enhancement of the Alert and Response System Cuba: Prevent water-borne diseases, strengthen epidemiological surveillance and vectorcontrol measures, replenish stock of medicines and supplies and maintain basic health services, and support the recovery of health infrastructure 4
Acronyms ACF- Action Contre La Faim BHS- Bahamas BPL- Bahamas Power and Light Company Limited CAN- National Ambulance Center CDTA- Acute Diarrhea Treatment Centers CLC- Christ Luther Church COMM- Communications COORD- Coordination DANA- Damage Analysis and Need Assessment DINEPA- Direction Nationale de l Eau Potable et de l Assannissement EMT- Emergency Medical Team EOC- Emergency Operations Center GOARN- Global Outbreak Alert and Response Network HTI- Haiti INAPA- Instituto Nacional de Aguas Potables y Alcantarillados LOG- Logistics MDM- Médicos del Mundo Argentina MoPH- Ministry of Public Health NGO- Non-Governmental Organization NEMA- National Emergency Management Agency NEOC- National Emergency Operations Center NRC- Nuclear Regulatory Commission PAHO- RRT- Regional Response Team UNGRD- Unidad Nacional para la Gestión del Riesgo de Desastres WASH- Water, Sanitation, and Hygiene WFP- World Food Programme WHO- World Health Organization 5
Sources: CDEMA; OCHA; PAHO-HTI; PAHO-CUB; PAHO-BHS; PAHO-JAM; NOAA-NHC; DC COLOMBIA; FEMA; MPH-OEA; NEMA FOR MORE INFORMATION PLEASE CONTACT: eoc@paho.org Or visit: www.paho.org To be added or removed from this distribution list of situation reports, please email: eoc@paho.org 6