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Earthquake in Peru Situation Report August 21

Health Situation Report
21 August 2007

1. Summary of the general health situation and priorities

Preliminary damage assessment(*)




































(*) According to Estimates from INDECI, 21 Aug 2007.

  • The most severe damages in the service network are concentrated in Pisco, with 2 hospitals collapsed and more than 25 health centers affected.
  • The population needing shelter could increase in the coming days, as homes are evaluated and declared uninhabitable. The number of those left homeless could surpass 30,000 families.
  • 650 wounded have been transported to Lima (417 women and 250 men); of these only three have passed away.
  • The Ministry of Health is organizing information flow from the affected areas up to a command center and it is expected to establish and maintain a daily monitoring of the other affected provinces within one to two days.

Most urgent priorities for the health sector

    • It does not seem necessary to send additional health workers to the affected areas. But rather to reorganize the health workers present.
    • Provide safe drinking water to the affected population.
    • Assess the health service network and service recovery.
    • Need to strengthen epidmiological surveillence in shelters to avoid transmission of diseases.
    • Environmental health and trash and rubble collection.
    • Launch a psychosocial support program and mental health support for the affected population and for health workers.
    • Public information and communication campaign to the community on environmental health and safe water management.
    • Optimizing effective humanitarian assistance by using LSS/SUMA.
      Support basic sanitation and water quality control for refugees.

2. General health situation in Pisco

  • The accelerated demolition of unsafe homes and buildings has increased the levels of particle materials in the environment and consequently has increased respiratory infections.
  • The evacuations of damaged homes in poor conditions have increased the population in shelters.
  • The city has begun to recover electrical power.
    Water distribution continues to be provided from water tankers.
  • The local health workers are returning to work in their usual workplaces, accompanied by foreign aid support workers who are being permanently relieved.
  • Medications and medical supplies are available.
  • The principal need is providing electrical power generators to the different establishments.
  • It has been emphasized that NO more additional health workers are needed but rather the reorganization of existing resources.

About the health service network

Hospital San Juan de Dios. The hospital continues to provide services in the new building of the hospital, where a health situation room has been set up and where health workers from other parts of the country who are supporting the delivery of services are staying overnight.

Hospital Antonio Skabronja. The hospital is destroyed. Health care is being provided in a field hospital in the Plaza de Armas, where to date 4,933 patients have been seen and 250 patients have been evacuated to Lima.

The laboratory network is functioning. 22 other outpatient health units have been evaluated in the Chincha-Pisco network.

  • Only 5 are operating at 100% capacity.
  • 10 are without lights.
  • 2 operating at 50%, partial building damage or lacking access to basic service or lacking health workers.
  • 2 closed.
  • 12 have still not documented the damages.

Water and Sanitation in Pisco

  • The city continues to lack water. Water distribution continues to be provided by water tankers both to shelters as well as the rest of the community.
  • The evaluation of the water systems has started in the rural sector and serious damages have been detected in the systems, some have used alternate water sources that are not chlorinated.
  • 23 shelters are being established with a total capacity for 11,899 people. The most immediate need is for latrines.

3. General health situation in Ica

  • The rural and surrounding areas of the city are being served by medical brigades both from the region and professionals from Arequipa, Moquegua, Saint Martin, Lima, Apurimac and the NGO Solaris.
  • The surrounding health services have remained operational with adequate resources.
  • Food rations have been distributed for at least 35,000 families. With contributions from WFP there are enough food resources to continue with the distribution. A community common pot is being used to feed organized communities. Food distribution for children under the age of 2 does different from the regular regional diet does not exist.
  • A downward trend has been observed of injuries due to external causes, wounds and traumas; respiratory infections, conjunctivitis, diarrhea diseases, foodborne illnesses and skin infections have increased during this period. However this does not indicate epidemics and outbreaks. It is still not possible to conclude that the increase in morbidity is caused by the disaster and population displacement or if the figures only reflect the increased availability of medical services at the moment.

A donation of 30,000 oral dehydration packets and chlorine tablets for water purification.

Water and Sanitation Ica

  • The drinking water supply is gradually being reestablished throughout the city and has arrived to 90% of the urban area, 60% of the outlying areas through water tanks transported in cars.
  • The solid waste collection system is functioning at the same level as before the earthquake.
  • Damage has been detected to 200 meters of the sewage system in one of the sectors of the city.
  • Outdoor defecation has been increased as a consequence damages to homes and as fears remain of remaining trapped given the number of aftershocks.

In several outlying and rural area, the communities have started to adapt their homes using materials that remained in working condition (adobes, wood, mats.)

A structural assessment mission is necessary for the Regional Hospital of Ica to determine if it should be rehabilitated or demolished. It is recommended to increase the hospitalization area and to relocate the outpatient consultation area.

4. PAHO/WHO Response actions

  • Expert teams continue to support the affected areas in damage and needs assessments, intersectoral coordination, establishing the EOC in Pisco and the development of a situation room.
  • Coordination with the UNDAC team and other international cooperation agencies in the capital and affected areas.
  • Support for the establishment of LSS/SUMA, under the coordination of the National Civil Defense System. Continuing to inventory the national and international humanitarian assistance and distribution from the airports in Pisco and Lima (Group 8), with the support of White Helmet personnel and from INDECI.
  • Coordination with the United Nations for the joint preparation of a “Flash Appeal.” Based on information consolidated by the team – Ministry of Heath-PAHO on the health situation, an interagency health group of the UN System (PAHO/WHO, UNICEF, UNFPA, UNAIDS) developed this component for the global proposal, for a total of $1,970,000USD to strengthen the service sector, water and sanitation, improve general coordination, and epidemiological surveillance and control outbreaks.

5. Humanitarian Assistance

About the LSS/SUMA situation in Lima. Based at the Jorge Chavez Airport

  • A SUMA team formed including the National Logistical Directorate of INDECI, the Peruvian Agency for International Cooperation (APCI), the Lima Branch of the Red Cross and the Peruvian Air Force.
  • Registry of the distribution of the supplies prior to the Point of Entry from the Military Airport of Pisco.
  • Generating consolidated reports since the 17 Aug for local and international donations sent to Pisco.
  • 100% registry of supplies dispatched from the point of entry to the city of Pisco in approximately 40 air operations and 15 land operations, since 16 August, with official support provided by the National Logistical Directorate INDECI.

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