Southeast Asia earthquake and tsunami, 6 January 2005 2 deaths 10 000 deaths 90 deaths 46 229 deaths 5187 deaths 66 deaths 82 deaths 94 200 deaths Total 155 981 Somalia 114 Kenya 1 United Republic of Tanzania 10 Update: 6 January 2005 12:53
Giant earthquakes 1952 Russia 9.0 magnitude* 1957 Alaska 9.1 magnitude 1960 Chile 9.5 magnitude 1964 Alaska 9.2 magnitude 2004 Indonesia 9.0 magnitude *On the Richter Scale
The Concerns Trauma and infected wounds Diarrhoeal diseases Food poisoning Vaccinepreventable diseases Vectorborne diseases Lost lifelines for vital events e.g. childbirth and chronic illnesses Individual and social distress: rumours, mistakes, psychological trauma General accrued vulnerability Loss of health assets
WHO Strategy I Maximising the lifesaving and lifepreserving value of all humanitarian action: 1. Surveillance of disease. Ensuring that national authorities are able to provide early warning of potential health threats, as they emerge, verify them and trigger a prompt and correct response. Teams of experts have been deployed in countries through the GOARN, producing daily epidemiological updates. 2. Access to essential health care through assessing and responding to need. Collating information from reviews of the damage to the health service infrastructure and assessment of the health needs of affected populations analysing the results, together with Health Ministries, as quickly as possible, and making this available to all who seek to save lives and support recovery. 3. Essential public health. WHO provides technical guidance to national and international humanitarian actors, on health policy including the disposal of dead bodies, responses to disease outbreaks, maintaining water quality, dealing with excreta, sewage and chemical threats, managing chronic diseases, vaccination programmes and maintaining mental health. 4. Strengthening supply systems. Ensuring the supply of medicines, equipment, transport and other vital assets, so that all in need can access the services they require (immediate replacement of lost health assets, supply of emergency health kits, vital vaccines): many of these items are obtained locally, though when external donations are carefully matched to local need, they can make a vital difference. WHO has focused on enabling the incountry health groups to procure these items themselves. 5. Coordination of international health response. WHO helps coordinate and manage assistance and secure the best possible outcomes through briefing of donors, appropriate use of volunteer health workers, involvement of local communities (including women's organisations) and technical support including common Logistical Supply Systems that are used by the UN system and NGOs.
WHO Strategy II Reducing avoidable loss of lives and individual and collective illhealth Servicing ALL health actors A channel for the international concern with the health of the people in the affected countries An Organizationwide mobilization of capacities and expertise Shipping Essential Medicines, Cholera and Trauma kits into the affected countries (150 NEHK + 40 Diarrhoea kits) A strong regional team in New Delhi Liaison office Bangkok Stronger and expanded capacities for coordination and support, in Banda Aceh and Sri Lanka Open partnerships: with UNCT, NGO and UNDAC in the field and with UNICEF, IFRC, ICRC, IOM, and NGOs from Geneva What WHO is doing, planning and communicating to the media is on www.who.int
Sri Lanka Total population 18 910 000 Affected 1.5 million East South Jaffna, Trincomalee, Batticaloa, Ampara Deaths 30 513 MoH Injured 15 686 MoH Missing 3870 MoH Displaced 603 881 MoH Over 700 camps Mine fields in the Northeast??? Needs: Water, sanitation, shelter WFP 40 000 tons of dry food to the North and Easter provinces Presence: WFP, UNICEF, IFRC, ICRCnational and international NGOs MoH mobilized 700 doctors 500 nurses MoH proposed 26 suboffices Update 06.01.05 14:12
WHO activities in Sri Lanka 8 WHO staff 3 small WHO teams in country for 12 districts Proposed 26 suboffices for affected regions Supporting disease surveillance: information flow not good enough Mapping the damages to the health network WHO Health kits NEHK 65 kits needed, 18 in pipeline, 47 arrived Diarrhoeal kits 40 needed 39 in pipeline 1 arrived Surgical kits 10 needed 10 in pipeline 3 logisticians arrived (2 Colombo, 1 Ampara) planned to send total 13 WHO 2 million chlorine tabs Strengthening the WHO Country office: WATSAN expert from Nepal Public health experts from WHO/SEARO, Nepal, WHO/EURO and Australia Update 6.1.2005
Jaffna Trincomalee Batticaloa Ampara Kilincohchi Mullaittivu Kalmunai Monaragala Baquilla Ratnapura Hambantota Matara Galle Kalutara Colombo Gampaha Kegalla Kurunegala Puttalam Andrandhapura Vavuniya Mannar Polonnaruwa Kandy Matale Ratnapura
Deaths 30 513 Source: MoH Update 06.01.2005
Injured 15 686 Source: MoH Update 06.01.2005
Displaced 603 881 Source: MoH Update 06.01.2005
District Deaths Missing Displaced Injured Hospitalized Houses Damaged Houses Damaged No of Camps Ampara 10 436 183 527 125 Batticaloa 2254 14 185 637 103 Puttalam 4 850 6 Colombo 65 14 24 500 54 Gampaha 7 32 000 10 Elpitiya Galle 3724 44 582 7500 150 Hambantota 4500 28 785 37 Jaffna 2640 48 729 43 Kalutara 213 38 441 105 Kelaniya Matara 1061 40 500 64 Mount Lavinia Negombo Panadura Tangalle Trincomalee 947 93 408 87 Vavuniya 140 2,000 99 10 Killinochchi 560 59 519 22 Mullaitivu 2000 2,000 24 557 19 Total 28 551 4 028 805 134 7500 835 Source: MoH Update 01.01.2005
Hospitals Destroyed in Sri Lanka (MoH) Ampara district Trincomalee District Mulaitivu District Jaffna District Batticaloa District Hambantota District Matara District Galle District Sainthamaranthu District hospital completely damaged Ninthavur District hospital partly damaged Karativu Peripheral Unit completely damaged Periyaneelvanai Peripheral Unit District Hospital completely damaged Alaiyadivembu Peripheral Unit completely damaged Addalachchanai Peripheral Unit completely damaged Komari Central Dispensary and Maternity Home fully damaged Pothuvil District Hospital partly damaged Regional Drug Stores Kalmunai washed off but building not damaged Kinniya District Hospital completely damaged OPD is functioning in a school Kinniya MoH office completely damaged GH Trincomalee partly damaged Kuchahaveli Rural Hospital equipment washed off partly damaged Nilaveli Central Dispensary completely damaged Mulaitivu District Hospital completely damaged Nil Kanthankudy District Hospital completely damaged OPD is functioning in a school Kanthankudy MoH office completely damaged Kallar District Hospital completely damaged Vakari Peripheral Unit completely damaged new hospital not opened yet Vakari MoH office completely damaged Palameenmandu Rural Hospital completely damaged Palamunai Central Dispensary completely damaged Tangalle MoH Office washed off partly damaged Matara office of the Deputy Provincial Director completely damaged Matara MoH office matara washed off partly damaged Regional Drug Stores washed off partly damaged Teaching Hospital Mahamodara equipment washed off partly damaged shifted temporary to Karapitya Central Dispensary Ahangama completely damaged Hikkaduwa MoH Office completely damaged Update 03.01.2005 Maternal and Child Health Clinic completely damaged
Indonesia Population 217 131 000 Affected 13 million Banda Aceh Province population 4 million Most affected West coast Pusong, Blang Cut, Jambo and Panti villages, Lhokseumawe city Kuala Simpang in East of Aceh Nias district Pantai Cermin Deaths 94 200 Injured 2196 Missing 6000 Displaced hundreds thousands Death toll could rise further IOM established field hospitals Banda Aceh, Sigli, Meulaboh and Ache Timur WFP, UNHCR, UNICEF, ICRC, IFRC, NGOs and WHO OCHA setting up camp for relief workers 50 % health facilities destroyed 50 % health staff dead or missing (17 officially reported) 3 of 6 health centres partially functioning Update 06.01.2005
Indonesia deaths and missing people No Place Deaths Missing 1 Banda Aceh city 30 000 2 East Aceh (Aceh Timur) 224 3 Lhokseumawe city 157 4 Bireun District 594 96 5 Pidie district 2194 229 6 North Aceh district (Aceh Utara) 1864 745 7 Nagan Raya district 500 8 Calang city (Aceh Jaya district) 5000 9 Aceh Jaya district (excluding Calang) 20 500 10 Simeulue district (Sinabang) 8 1 11 Sabang municipality 12 12 Aceh Besar District 14 000 13 Aceh Barat (West Aceh) district 14 800 279 14 Aceh Island (Aceh besar district) 4000 15 Aceh Selatan (South Aceh) district 6 1 Total 94 081 1351 Update 03.01.2005
WHO action in Indonesia Field presence in Banda Aceh Health assessment and coordination (3 working groups: hospitals, WATSAN, mental health) surveillance system and lab WHO Health kits NEHK 50 needed 50 arrived 5 logisticians in the field (2 Jakarta, 1 Banda Aceh, 2 Medan) planned to send total 13 Communications extremely difficult WHO Country office strengthened with public health experts from WHO/WPRO, PAHO and the US WHO support the government to set up surveillance systems Update 06.01.05
No Indonesia MoH information 03 Jan 2005 Place Out Patient In patients Aceh Province 1 Cut Meutia Hospital, Lhokseumawe 88 108 2 Melati Perbaungan Hospital 2 3 Langsa Hospital 581 1 4 Bireun hospital 198 78 5 PMI hospital Lhokseumawe 157 6 Aceh Timur Hospital 193 23 7 Simuelue Hospital 42 12 8 Calang Hospital 500 9 Iskandar Muda B. Aceh Hospital 7 North Sumatra 10 Adam Malik Hospital 83 11 Pringadi hospital 56 12 Sari Mutiara hospital 2 13 Haji Hospital Medan 15 14 Brimob Hospital 5 15 Elisabeth hospital 1 16 Rumkit 43 17 Martha Friska hospital 1 18 Herna hospital 2 19 Glen eagles hospital 1 20 Lantamal TNI hospital 2 21 Malahayati Hospital 22 Permata Bunda Hospital 23 Poldasu Hospital 16 Total 1602 797 Update 03.01.2005
IDPs MoH information 6 January 2005 Banda Aceh city Location Number of IDPs 27 006 Remarks Ache Besar district 40 295 Kuala Langsa Village Aceh Barat (Jaya, Barat, Nagan Raya) 25 280 Pidie district Aceh Utara district 90 315 97 947 21 points location Aceh Selatan (Timur, Tamiang Medan Jakarta Total 28 430 165 083 263 474 619 26 points location Update 06.01.2005
India Population 1 049 549 000 Affected Tamil Nadu: 6170 deaths and 202 missing Andhra Pradesh: 111 deaths and 30 missing Andaman & Nicobar Islands: 359 deaths and 5900 missing Kerala : 170 deaths and 2 missing Pondicherry: 520 deaths 330 missing Deaths 10 000 Missing 5918 No help requested the Indian Government is still assessing the damages and providing support India sent relief to Sri Lanka and Maldives 2 hospital ships Update 05.01.05
WHO activities in India WHO Health kits NEHK 25 needed 25 in pipeline Surgical kits 10 needed 10 in pipeline
Maldives 54 deaths and 61 missing Population 309 000 Affected 223 957 Deaths 82 Missing 26 Displaced 11 216 Health network severely affected in at least 10% of the islands Extreme scarcity of drinking water Diarrhoea increasing already UNDAC team on the ground since 28 December Update 05.01.2005
WHO activities in Maldives WHO country office strengthened with two water engineers One public health experts expected from WHO/EURO WHO Health kits NEHK 10 needed 10 arrived Surgical kits 10 surgical kits needed 10 arrived Planned to send 1 logistician to Male Update 05.01.05
Malaysia Population 23 965 000 Affected Pulau Pinang 50 deaths Kedah 10 deaths Perak 4 deaths Selangor 1 death Injured 675 Deaths 66 Missing 6 Displaced 8 000 Cases of diarrhoea detected 11 (2 Pulau Pinang, 9 Kedah) Establishment of medical teams total 7 (Kedah, Perak, Perlis, Pulau Pinang) Establishment of health teams total 6 (Pulau Pinang, Kedah, Perak, Perlis) Update 05.01.05
Thailand Population 62 193 000 The provinces of Ranong, PhangNga, Phuket, Krabi, Trang and Satun were Severely affected Deaths 5246 (official) Injured 8457 (official) Missing 4499 (official) Two MOH teams sent to the South UNDAC team on the ground (with WHO participation) Update 06.01.05
Information from Ministry of Interior, Thailand Death Missing Injured Phang Nga 2113 4134 5597 Krabi 1669 667 1376 Phuket 700 262 1111 Ranong 16 172 246 Trang 1 5 112 Satun 0 6 15 Total 4499 5246 8457
Other affected countries Myanmar : 17 villages were destroyed 90 persons perished so far assessments continue Somalia : 200 people were killed estimated 30 000 will need assistance 50 000 displaced Tanzania and Kenya also hit Bangladesh :two people were killed Update 01.01.05
New Emergency Health kits and Diarrhoeal kits to South Asia region India Needs 25 Pipeline 25 Arrived Maldives Needs 10 Pipeline Arrived 10 Sri Lanka Needs 65 + 40 Diarrhoea Pipeline 18 + 39 Diarrhoea Arrived 47 + 1 Diarrhoea Indonesia Needs 50 Pipeline Arrived 50 Total needs 150 NEHK + 40 Diarrhoea kits pipeline 43 NEHK + 39 Diarrhoea kit arrived 107 NEHK + 1 Diarrhoea kit 6 January 2005
Surgical kits to South Asia region India Needs 10 Pipeline Arrived 10 Maldives Needs 10 Pipeline Arrived 10 Sri Lanka Needs 10 Pipeline Arrived 10 Indonesia Needs 40 Pipeline Arrived 40 Total needs 70 pipeline arrived 70 6 January 2005
Planned WHO staff in South Asia region WHO Regional Office in New Delhi total 6 1 logistician 1 HR officer 1 admin/finance officer 2 communications officers 1 information officer Maldives 6 1 emergency coordinator 1 epidemiologist 1 logistician 1 admin/finance officer 2 local admin assitants Sri Lanka total 5 1 team leader 4 logisticians Medan (3) 2 logisticians 1 admin officer Aceh (16) 1 head of operations 1 head of office 2 information officers 1 fleet manager 2 IT officers 1 communications officer 4 logisticians 4 admin officers Indonesia total 21 Total 38 Jakarta (2) 1 head of operations 1 logistician 6 January 2005