Emergency and Humanitarian Action (EHA), WHO Indonesia Earthquake in Padang, West Sumatra Province, Republic of Indonesia UHIGH LIGHTS On 30 September 2009, a strong earthquake registering 7.6 Richter scale, depth 71 km under the sea level southwest Pariaman, struck off the coast of Padang in West Sumatra at 17:16 pm local time, and followed by aftershock 6.2 RS. Data from the Crisis Center- MoH reported 1,117 dead, and 788 people suffered from major injuries, 2,727 suffered from minor injuries. 135,299 buildings are severely damaged, 165,306 moderately damaged and 78,596 slightly damaged. 10 hospitals, 53community health center (Puskesmas), 137 Supporting Community Health Center (Pustu), 15Village Clinic (Polindes), 6 official building, 69 official houses and 2 pharmaceutical warehouse collapsed. 565 inpatients and 33.521 outpatients are currently treated. Upper Respiratory Infections and Diarrhea cases dominate 5.010 health workers are currently working in the affected areas. Districts need support to carry out the following interventions in the recovery stage. 1. Immunization, disease (Communicable / Non Communicable) surveillance and outbreak control stream line back to normal surveillance. 2. Injury surveillance and rehabilitation. 3. Nutrition, child, Maternal and reproductive health 4. Treatment of common illness and appropriate referral. 5. Water quality, water sanitation-waste management and environmental health. 6. Integrated psychosocial and mental health. 7. IDP camps and foster home care and management. 8. Make shift clinics set up and mobile clinics to fill gaps in needed areas. 9. Public education using community and local medias. Caption: Damaged waiting room of hospital in Padang (source: WHO, R.H. Ofrin). Caption: Health Cluster Meeting at the Governors Office in Padang (source: WHO). 1
Casualties No District / Municipality Dead Major Injury Minor Injury IDP 1 Kota Padang 313 412 1.690-2 Kab. Agam 80 82 40-3 Kab. Pesisir Selatan 9 8 5-4 Kab. Pasaman - - 23-5 Kota Pariaman 32 102 - - 6 Kab Padang Pariaman 675 175 540-7 Kab. Solok - 1 - - 8 Kota Solok 3-4 - 9 Kota Padang Panjang - - 15-10 Kota Bukit Tinggi - 4 - - 11 Kab. Pasaman Barat 5 4 410 - Total 1,117 788 2,727 0 Damaged Houses and Infrastructure Level of Damaged No District / Municipality Severely Damaged Moderately Damaged Slightly Damaged Total Number 1 Kota Padang 37,503 38,451 40,404 116,358 2 Kab. Agam 12,634 3,653 4,285 20,572 3 Kab. Pesisir Selatan 3,173 5,418 11,388 19,979 4 Kab. tanah Datar 29 118 108 255 5 Kab. Pasaman 171-920 1,091 6 Kota Pariaman 8,319 1,639 13,378 23,336 7 Kab Padang Pariaman 70,133 12,630 4,642 87,405 8 Kab. Solok 145 243 357 745 9 Kota Padang Panjang 23 180 412 615 10 Kota Bukit Tinggi - - 50 50 11 Kab. Pasaman Barat 3,169 2,974 2,652 8,795 Total 135,299 65,306 78,596 279,201 Damaged Health Facilities No District Damaged Health Facilities Hospital Puskesmas Pustu Official Polindes Pharmaceutical Official Total Building Warehouse Houses 1 Padang 7 19 38 2 0 0 2 68 2 Agam 1 2 17 1 0 1 4 26 3 Pesisir Selatan 1 6 11 1 4 0 3 26 4 Tanah Datar 0 1 0 0 0 0 0 1 5 Pariaman 0 5 5 1 11 1 4 27 6 Padang 0 18 62 0 0 0 56 136 Pariaman 7 Padang 1 1 2 1 0 0 0 5 Panjang 8 Pasaman Barat 0 1 2 0 0 0 0 3 Total 10 53 137 6 15 2 69 292 2
Patients Inpatients In 5 Hospitals 51 patients Surgery 565 patients Surgery Using Plate Screw 123 patients Yos Sudarso 1 Tetanus case treated Hospital Outpatients 33,521 Total Number of Diseases Cases (02.11.09) No District/ Diarrhea Bloody Measles Dengue Malaria Upper Track Pneumonia Tetanus Hepatitis Municipality Diarrhea Respiratory Infection 1 Kota Padang 2,399 12 27 63 5 12,708 43 0 9 2 Kota Padang 882 6 9 0 0 4,337 7 1 0 Pariaman 3 Padang Pariaman 1,473 5 14 1 0 6,701 15 0 0 4 Pesisir Selatan 229 0 1 15 2 1,070 10 5 Agam 1,186 12 0 0 0 7,929 1 0 0 TOTAL 6,169 35 51 79 7 32,745 76 1 9 Immunization Coverage 1/10/09-2/11/09 Padang Padang Pariaman Pariaman City Agam South Pesisir TOTAL Measles TT Measles TT Measles TT Measles TT Measles TT Measles TT TOTAL 39,264 10,445 20,761 42,908 5,296 15,085 13,135 1,663 10,842 19,148 89,298 89,249 IDP camps 3 IDP camps in Agam; 6 new IDP camps in Padang Pariaman supported by Wash Cluster. Maninjau area (area in Agam) still under assessment process for building temporary camp. Options under consideration for relocation include: 1. Transmigration to an area South of Padang City although previous experience showed that people returned to their area of origin after assistance ended. 2. Identify a relocation area within the Sub-District. The difficulty was identifying suitable, available land. 3. A floating village on the lake using tents & platforms. Something similar was done in West Java the problem was the cost. Some people have started to return to their area of origin and building their on makeshift shelter on rafts for evacuation. 3
Sample disease surveillance table (Source: PHO West Sumatra) Health Sector/Cluster Coordination 53 International Organizations registered and participate actively 5 SubCluster: 1. Immunization & EWARS 2. Psychosocial & Mental Health (MHPSS) Meeting: Every Friday at 9.30 at the PHO 3. Mobile Clinic, Injury Surveillance & Rehabilitation 4. Nutrition, Maternal, Child and Reproductive Health Meeting: 9 November 03.00 PM 5. Health Facility Support & Environmental Health 4
Who/What/Where Map, West Sumatra (Source: Map Action, 28.10.09) 5
WHO/PHO -6 District Health Office coordination meetings were conducted & one information and command line related to the health recovery plan was developed - WHO supports District Health Offices by opening information and communication center to gather and update information in 6 District Health Offices and remit it to Provincial Health Office. Staff from District Health Office and WHO are assigned to the 6 districts to coordinate and communicate for health recovery plan. WHO/MoH Follow up Actions from Health Recovery Plan Coordination Meeting, 29 th October 2009 1. MoH will develop guideline and registration format for International and national organization to continue their work in Padang after Emergency phase 2. Policy will be set up at provincial and district level in order for organizations to coordinate with health authorities before any decision or allocation is made 3. Information and coordination units will be formed to support analyze information and prepare district recovery plan using standard formats. Report and consolidate all information to province on daily basis and to share back to all districts 4. Information and coordination units will be formed at District level, support analyzing information and prepare district recovery plan using standard formats. Report and consolidate all information to province on daily basis and to share back to all districts. 5. The recovery (Short Term), rehabilitation (medium term) and reconstruction (Long Term) plan will be formulated and implemented for province and districts. 6. Donated items at sub-districts, districts and province will be merged into one format and managed to store, utilized and re-distributed, destroyed. 7. Ensure that provincial and district engineering teams from health office and hospital join in local government / university team. Review standards and apply them accordingly for reconstruction, retrofitting and mitigation 8. The need for makeshift health shelters will be included in the recovery plan as a package. 9. a. Districts need support to carry out the following interventions in the recovery stage. 1. Immunization, disease (Communicable / Non Communicable) surveillance and outbreak control stream line back to normal surveillance. 2. Injury surveillance and rehabilitation. 3. Nutrition, child, Maternal and reproductive health 4. Treatment of common illness and appropriate referral. 5. Water quality, water sanitation-waste management and environmental health. 6. Integrated psychosocial and mental health. 7. IDP camps and foster home care and management. 8. Make shift clinics set up and mobile clinics to fill gaps in needed areas. 9. Public education using community and local medias. 10. Information and coordination with partner agencies to implement recovery, rehabilitation and reconstruction plans. b. Health sub clusters with interested partner agencies will be formed and programme and intervention needs will be included into the recovery plan. 6
Status of International Aid President and the Government of Indonesia welcoming international assistance and support in their relief effort through the close collaboration with the local government. JAKARTA OFFICE FOCAL PERSON CRISIS CENTER -MOH 1 Dr. Rustam Pakaya Head of Crisis Center-MOH 0812 9602 324 ppkdepkes@yahoo.com 2 Dr. Lucky Tjahjono Head of Emergency Response & Recovery Unit 0811 902 378 ppkdepkes@yahoo.com 3 Drg. Els Mangundap Head of Administration 0818 787 588 ppkdepkes@yahoo.com 4 YusRizal, M.Epid Head of Information and Monitoring Unit 0816 117 4320 ppkdepkes@yahoo.com EHA-WHO JAKARTA 1 Dr. Vijay Nath Kyaw Win Medical Officer 0811 9622 496 wink@who.or.id Dr. Suci Melati 2 Wulandari Program Officer 0856 2916 016 wulandaris@who.or.id 3 Ms. Intani Nur Kusuma Information & Communication Officer 0818 0414 5225 kusumai@who.or.id PADANG OFFICE FOCAL PERSON WEST SUMATRA PROVINCIAL HEALTH OFFICE 1 Dr. Rusmini Head of Provincial Health Office 0819 7555 666 2 Mr. Jazmarizal Head of Crisis Center-MOH 0812 660 7157 3 Mr. Rifwaldi Head of Information & Monitoring Unit 0751 8504829 EHA-WHO PADANG FIELD OFFICE 1 Dr. John Prawira Team Leader 0815 8842 523 prawiraj@who.or.id 2 Ms. Silvia Kusuma Adhy Program Officer 0813 2871 0263 adhys@who.or.id 3 Dr. Soraya Siti Balqis Information & Communication Officer 0818 866 236 sitibalqissoraya@gmail.com www.ppk-depkes.org Email address: hc.padang@gmail.com Weblink address: www.who.or.id/download/docs/eha/a256/padang-earthquake Source of Information from Indonesia Information is gathered from the following sources. This report is for reference only and should not be quoted as factual accuracy can change. 1. WHO 2. Crisis Center (PPK), MoH 3. UN System 4. BNPB 5. Local and international news media 7