WCO-Indonesia Situation Report (SR-3) 20 January 2013 HIGH LIGHTS

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Emergency and Humanitarian Action (EHA) Unit WHO Country Office - Indonesia Floods Emergency Situation Report in DKI Jakarta Province 20 January 2013 SITREP # 3: at 10.00 local time (UCT+7) HIGH LIGHTS The Center for Health Crisis of Ministry of Health (CHC/MOH) reported the flood situation in DKI Jakarta Province, as following: 1. On Tuesday, 15 January 2013 at 04.00 Western Indonesia Time (UTC+7), the flood has started to occur in DKI Jakarta Province. Up to 18 January 2013, the flood has affected 135 villages in 35 sub-districts with water level 25 to 250 cm height, which is decreased compare to the situation on 15 January 2013 that affected 30 villages in 17 sub-districts. The affected areas, as following: A. South Jakarta - 17 villages in 8 sub-districts were affected by the flood B. East Jakarta - 24 villages in 9 sub-districts were affected by the flood C. West Jakarta - 54 villages in 8 sub-districts were affected by the flood D. North Jakarta - 33 villages in 6 sub-districts were affected by flood E. Central Jakarta - 7 villages in 4 sub-districts were affected by the flood On 20 January 2013 at 16.00 Western Indonesian Time (UTC+7), The CHC/MoH reported 20 persons died, 23 people were affected by serious illness, 14.830 people were treated for minor illness, 18.018 people were displaced, and I hospital and 52 community health centres were inundated. The MOH deployed 14 personnel from CHC and CDC (Centre for Disease Control) to conduct monitoring and RHA (Rapid Health Assessment) in 5 DHOs (District Health Office), 185 mental health patients from dr S.Herdjan Hospital were evacuated using 2 rubber boats to dr M.Mahdi Hospital in Bogor; The CHC/MOH and Health Referral Effort Management Directorate (BUKR) distributed: 150 folding bed and 15 personal kit for Regional CHC of DKI Jakarta; Prepared 2 rubber boats for standby operation in MOH and 10 others in CHC/MOH Warehouse; Sent 10 tons fortified biscuit to DKI Jakarta PHO and distributed to each DHO; Distributed 2 set Emergency Kit, 60 bottles of liquid water purifier or PAC, 2 banner of health post, 2 packs of medicine, 50 exemplars of diarrhoea leaflet, and 1,000 masks; Set up 4 mini field hospitals; 2 in the South Jakarta and 2 others in West Jakarta (Bukit Duri, Kalibata, Rawabuaya and Kapuk). The Maternal Health Directorate (BKI) distributed 1,400 hygiene kits, 150 sets of maternal kit, 150 sets of laboring kit, and 150 sets of infant kits to 5 DHOs in Dki Jakarta Province; Environmental Health Technology Main Station conducted several actions, as following: Placing water treatment machine and clean water in Bukit Duri Village with the capacity 200 liters/hour; Drinking water quality test; Distributed logistic, include: 120 kg of chlorine, 1,000 polybag, 3 boxes of flies repellent, 208 sachets of mosquitos repellent, 88 bottles of water purifier, 4 boxes of disinfectant, 100 boxes of oral rehydration salts solution, 100 boxes of zinc, 5 sets of emergency kits, 12 pairs of long hand glove, 24 pairs of short hand glove, 5 box of leptospirosis diagnosis kit, 2 package of medicine, 10 units of zoonosis banners, and 50 exemplars of diarrhoea information kit 1

CONTINUE The Disease Control and Environmental Health DG (P2PL/CDC) conducted several actions, as following:: Conducted RHA in the flood affected areas Conducted monitoring in Rawajati Village Bukit Duri; Assist the public kitchen activity, which is coordinated by the DHO; The Pharmacy Service Directorate (Bina Yanfar) conducted several actions, including: Distributed 30 boxes of medicines Prepared snake venom antidote Mobilized mental health team The DKI Jakarta PHO conducted several actions, as following: Evacuated the victims; Activated community health center 24 hours services Set up and provided medical services in the IDPs sites ( the total number of health post is 128 that provided services for 14,830 people and 23 people were referral to the hospital); Prepared medicine logistic and health kit; Conducted mobile health service in Kapuk Muara Village, Penjaringan Sub-district and Grogol Village; Cooperated with the health education institute and hospital provision for health staffs. In order to anticipate wider flood affected areas, the MOH is planning to conduct several activities, including: Mobilize disaster response team that assigned in the health posts; Further coordination between CHC, DKI Jakarta PHO, and NGOs for health sector intervention; Strengthening surveillance for early detection in emergency response post of DKI Jakarta PHO; improving health promotion The MOH, DKI Jakarta PHO, P2PL, and CHC/MOH are monitoring the situation closely; The EHA/WHO in collaboration with the CHC/MOH developed 4W Mapping and Operational Map. 2

Situation Analysis The cause of flood that happened on Tuesday, 15 January 2013 at 04.00 Western Indonesia Time (UTC+7), in DKI Jakarta Province, affected 35 Sub-districts in 5 administrative cities Tuesday, was the high intensity of rainfall that happened in long term that caused the overflow water from Ciliwung River Responding to the situation the DKI Jakarta Government has declared emergency response phase until 27 January 2013 A Governor's Decree on Flood Emergency Response has been issued to outline the structure of the incident command at Jakarta level to respond and managed the flood situation, as described in the following organogram: 3

No Location Dead Causalities and Damages Table showing casualties & damage: Inpatient/ Major Injured Outpatient/ Minor Injured Missing IDPs House/Buildings Heavy damages Health Facilities Damages DKI Jakarta Province a. South Jakarta 2 1) 3 2) 647 3) 2,127 4) b. East Jakarta 4 5) 4 6) 2,294 7) 7,196 8) c. West Jakarta 8 9) 5 10) 5,827 11) 3,642 12) 1 13) d. North Jakarta 4 14) 7 15) 4,788 16) 3,785 17) e. Central Jakarta 2 18) 4 19) 1,274 20) 1,268 21) Total 20 23 14,830 18,018 1 Source: CHC/MOH, 20 January 2013 at 16.00 Western Indonesian Time (UTC+7): 1) 2 people died in South Jakarta caused by flood; 2) 3 people were treated for serious illness in Fatmawati Hospital (1 person) and Tebet Community Health Centre (2 people); 3) 647 people in South Jakarta were severe from minor illness; 4) 2,127 people were displaced in South Jakarta ; 5) 4 people died in East Jakarta caused by flood; 6) 4 people were treated for serious illness in Budi Asih Hospital; 7) 2,294 people in East Jakarta Province were severe from minor illness; 8) 7,196 people were displaced in East Jakarta ; 9) 8 people, include 4 men and a woman died in West Jakarta ; 10) 5 people were treated for serious illness in Pelni, Puri Mandiri Kedoya, Abdi Waluyo, and Cengkareng Hospitals, also Cengkareng Community Health Center ; 11) 5,827 people were treated for minor illness in West Jakarta ; 12) 3,642 people were displaced in West Jakarta ; 13) 1 hospital was damaged, which was Atmajaya Hospitals; 14 ) 4 people died in North Jakarta caused by flood; 15) 7 people were severe from serious illness and treated in Indah Kapuk Hospital; 16) 4,788 people were treated for minor illness North Jakarta ; 17) 3,735 people were displaced in North Jakarta ; 18) 2 people died in Central Jakarta caused by flood; 19) 4 people were treated for serious illness in Central Jakarta and treated in Cipto Mangunkusumo, Islamic Sukapura, and Tarakan Hospitals; 20) 1,274people were treated for minor illness in Central Jakarta ; 21) 1,268 people were displaced in Central Jakarta ; Response Local Government The DKI Jakarta PHO conducted several actions, as following: Evacuated the victims; Activated community health center 24 hours services Set up and provided medical services in the IDPs sites ( the total number of health post is 128 that provided services for 14,830 people and 23 people were referral to the hospital); Prepared medicine logistic and health kit; Conducted mobile health service in Kapuk Muara Village, Penjaringan Sub-district and Grogol Village; Cooperated with the health education institute and hospital provision for health staffs. 4

Center for Health Crisis, Ministry of Health, Republic of Indonesia The MOH deployed 14 personnel from CHC and CDC (Centre for Disease Control) to conduct monitoring and RHA (Rapid Health Assessment) in 5 DHOs (District Health Office), 185 mental health patients from dr S.Herdjan Hospital were evacuated using 2 rubber boats to dr M.Mahdi Hospital in Bogor; The CHC/MOH and Health Referral Effort Management Directorate (BUKR) distributed: 150 folding bed and 15 personal kit for Regional CHC of DKI Jakarta; Prepared 2 rubber boats for standby operation in MOH and 10 others in CHC/MOH Warehouse; Sent 10 tons fortified biscuit to DKI Jakarta PHO and distributed to each DHO; Distributed 2 set Emergency Kit, 60 bottles of liquid water purifier or PAC, 2 banner of health post, 2 packs of medicine, 50 exemplars of diarrhoea leaflet, and 1,000 masks; Set up 4 mini field hospitals; 2 in the South Jakarta and 2 others in West Jakarta (Bukit Duri, Kalibata, Rawabuaya and Kapuk). The Maternal Health Directorate (BKI) distributed 1,400 hygiene kits, 150 sets of maternal kit, 150 sets of laboring kit, and 150 sets of infant kits to 5 DHOs in Dki Jakarta Province; Environmental Health Technology Main Station conducted several actions, as following: Placing water treatment machine and clean water in Bukit Duri Village with the capacity 200 liters/hour; Drinking water quality test; Distributed logistic, include: 120 kg of chlorine, 1,000 polybag, 3 boxes of flies repellent, 208 sachets of mosquitos repellent, 88 bottles of water purifier, 4 boxes of disinfectant, 100 boxes of oral rehydration salts solution, 100 boxes of zinc, 5 sets of emergency kits, 12 pairs of long hand glove, 24 pairs of short hand glove, 5 box of leptospirosis diagnosis kit, 2 package of medicine, 10 units of zoonosis banners, and 50 exemplars of diarrhoea information kit The Disease Control and Environmental Health DG (P2PL/CDC) conducted several actions, as following:: Conducted RHA in the flood affected areas Conducted monitoring in Rawajati Village Bukit Duri; Assist the public kitchen activity, which is coordinated by the DHO; The Pharmacy Service Directorate (Bina Yanfar) conducted several actions, including: Distributed 30 boxes of medicines Prepared snake venom antidote Mobilized mental health team In order to anticipate wider flood affected areas, the MOH is planning to conduct several activities, including: Mobilize disaster response team that assigned in the health posts; Further coordination between CHC, DKI Jakarta PHO, and NGOs for health sector intervention; Strengthening surveillance for early detection in emergency response post of DKI Jakarta PHO; improving health promotion Emergency and Humanitarian Action, World Health Organization Developed and circulated 4W Mapping to the health cluster members; Developed operational map. 5

Important Contacts JAKARTA OFFICE FOCAL PERSON CENTER FOR HEALTH CRISIS -MOH No Name Designation Phone Fax Email Address 1 2 Dr. Sri Henni Setiawati, MHA Drs. M. Nasrun Harun, MAP Mrs. Maryani, SKM, 3 MM DKI JAKARTA PROVINCIAL HEALTH OFFICE Head of Department 0811 166 043 021 5271111 Head of Emergency Response & Recovery Unit Head of Information and Monitoring Unit 0818 946 719 021 5271111 0812 937 3039 021 5271111 srihenni@yahoo.com ppkdepkes@yahoo.com muhnasrunharun@yahoo.co.id ppkdepkes@yahoo.com ani_merdjun@yahoo.com ppkdepkes@yahoo.com No Name Designation Phone Fax Email Address 1 Dr Iwan 2 Dr Sugiono EHA-WHO JAKARTA Emergency Health Control Support Centre Head of Health Service Division 0815 130 33382 - gadardinkes2013@gmail.com 0812 801 2275 - - No Name Designation Phone Fax Email Address 1 Dr. Graham Tallis Medical Officer 0816 105 127 021 5201164 tallisg@searo.who.int Dr. Suci Melati 2 Program Officer 0821 1398 5798 021 5201164 wulandaris@searo.who.int Wulandari Program and Field 3. Yuniarti Wahyuningtyas 08176704518 021 5201164 wahyuningtyasy@searo.who.int Monitoring Assistant 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. World Health Organization (WHO) 2. Center for Health Crisis MoH/ Pusat Penanggulangan Krisis Kesehatan (PPKK) 3. National Disaster Management Agency/Badan Nasional Penanggulangan Bencana (BNPB) 4. Local news media 6