Evaluation of Health Situation
20 August 2007 (supersedes the 19 August report)
Preliminary Evaluation Report on Health Facilities in Chincha and Ica
19 August 2007
The province of Chincha has a population of 194, 124. The city of Chincha, capital of the province, has a population of 59,189. There is no potable water or electricity at the time of evaluation. Potable water is being distributed by the city with previous chlorine disinfection. There are no visible problems with the sewage system in the city of Chincha. Solid waste is being collecting irregularly and the biggest problem is the elimination of rubble.
Currently, there are 60,000 people affected, 101 deaths, 800 injuries, and 12,000 homes with moderate or severe damage. The communities of Sunampe and Tambo de Mora report severe damages in homes. There are no shelters and tents and as such, people are living in their yards.
Damages to the health sector
- Hospital San Jose de Chincha (Ministry of Health)
It has a bed capacity of 96. There was a total collapse of the frontal perimeter and significant damage to the administrative building and morgue (an older area made of adobe). There was also damage to electric generators that were substituted with new equipment. There is no water or electricity in the public system, but the hospital is using its own supplies. Decalibration of lab equipment and x rays. Key areas such as the operating room, urgencies, hospitalization, obstetrics, external consulting, the kitchen and general services are functional. Seriously injured patients were transferred to Lima and Cañete. The hospital is operating 100% with 60% occupation. There are medical personal and sufficient nurses. There are enough medications, supplies, intravenous liquids, and food for patients and personnel. There is adequate accessibility to the hospital. The demand and inflow of poly traumatized patients has decreased significantly, the morbidity is routine for the hospital.
- Hospital Basico Essalud Renato
Has 90 beds with coverage for 65,000 beneficiaries. The main building that has administrative services, information support, files and external consulting has collapsed, with severe damages to the infrastructure. The water tank and the columns that support them are broken, as well as damage to the system of water distribution and elimination. The hospital evacuated all patients in serious condition. Currently, the hospital in functioning in hospitalization and emergency at 60% in a recently constructed area.
- Centro de Salud Sunampe
The damage caused by the earthquake was peripheral, there is no water or functioning sewage system. The number of consultations for severe respiratory infections and severe diarrhea infections has started to increase. The people affected by the destruction of homes do not want to live in shelters and are staying in the front of their homes for fear of being robbed, and are being exposed to the weather conditions because tents have not been distributed. This is taking place in Sunampe and its annex, Lomo Largo, and in the latter the destruction of homes was approximately 85%; however, they were served with water containers.
- Centro de Salud de Grocio Prado
The earthquake only damaged the inside of the installation, due to the type of materials with which they were constructed. In addition to severe respiratory infections, mental health problems have been reported in children older than ten and the elderly. Trash has not been collected, the water supply by pipe is not working; however, a cistern is being used that does not need electricity to function. This district has 18,000 inhabitants, 60% of its homes have been affected, and the water system does not work as well as sewage, there is no regular collection of waste nor has it received food or clothing. Personnel are making field visits to the affected people in the neighborhood El Progreso.
Province of Ica-city of Ica
- General direction of Health
The health command post operates in the General Direction. They compiled post disaster epidemiological information about morbidity and mortality, and they are preparing a report that will be presented soon. They constructed three mobile epidemiological teams for Ica, Pisco and Chincha with two epidemiologists and one IT person for each. A shelter has been created in the Pisco stadium with 13 tents, which are maintained in good hygienic condition. A mental health team was created to assist health personnel that are presented with psychological traumas.
- Hospital Regional de Ica
200 beds. The main building has significant damages en walls and windows. The water tank collapsed, flooding the building. The 40 year old building has prior vulnerabilities due to where it was constructed. Currently the affected zone is almost completely evacuated. It appears that the infrastructure of the hospital is affected. The emergency room is functioning in its normal place. The ICU was transferred to another area and three tents have been sent up on the hospital patio and are being used to ambulatory attention. Some areas of hospitalization were transferred to the halls.
- Hospital San Socorro
96 beds, all functioning. The old building that was used for preventive promotions, storage and general service is collapsed. The hospitalization, emergency, surgery and obstetrics center, pharmacy and lab are functioning100% Water and electricity are available with the hospital’s equipment. There are no obstructions or barriers to access to the health unit.
- Hospital de la Red Regional de Ica Essalud
The four floors of the main building have been evacuated completely due to damages in the partitions and secondary eaves. Patients were evacuated to Lima and discharged. The evaluation was done by engineers of Essalud who determine that in this moment there is no evidence of structural damages. The emergency services, pharmacy, and diagnostics are functional.
The good response of the health center should be recognized in this event: the immediate attention to patients, triage and transfer of patients to Lima and Cañete. Also they supported local resources with resources from other locals, mainly from Lima. Health personnel has been available to complete their work in regional hospitals and networks for 36 continuous hours in spite of being affected themselves. The aftershocks in the area continue, some of which are significant in intensity. Therefore, this evaluation is only valid for the date it was written.
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