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UN Response to the Earthquake in HAITI

UN Response to the Earthquake in HAITI. Dr. Mirta Roses Periago Director Pan American Health Organization (PAHO/WHO) Chair, a.i ., UNDG - LAC. Current Situation. As of 15 February , the Government of Haiti reports : Deaths : more than 200,000

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UN Response to the Earthquake in HAITI

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  1. UN Response to the Earthquake in HAITI Dr. Mirta Roses Periago Director Pan American Health Organization (PAHO/WHO) Chair, a.i., UNDG - LAC

  2. Current Situation As of 15 February, theGovernment of Haitireports: • Deaths: more than 200,000 • Wounded more than 300,000 (over 4,000 amputees) • Displaced: more than 1.2 million people into spontaneous settlements and, more than 500,000 people move out to the interior and neighbouring countries

  3. Current Situation • Due to the prevailing situation before the earthquake and its magnitude, the humanitarian crisis is expected to last for at least two years. • Crisis putting strain on the Dominican Republic’s health infrastructure as a large number of Haitians are treated in hospitals along the border and in the capital city. • Political climate is highly uncertain. Parliamentary election planned in March 2010, has been postponed and presidential elections are planned for the end of the year.

  4. Current Situation • Visit to the Dominican Republic and Haiti • Reconstruction of the government infrastructure • UNASUR support and collaboration • Orphans • Rehabilitation/disabilities • Information sharing • UN Regional Directors • IASC-WHO • Teleconference with countries through the ministers of health and PAHO/WHO country representatives • Teleconference with institutions and key players of the United States • Response to staff

  5. Additional Risks with Potential Consequences in the Future Current Situation • New earthquake • Rainy season and cyclone risk • Political instability

  6. Response from the Countries • Rescue teams • Floating hospitals • Field hospitals • Mobile clinics • Volunteers • Donations in kind and cash

  7. UN Response to the Earthquake in HAITI Clusters and Lead Agencies Cluster Lead Agency • Agriculture FAO • Camp coordination/management IOM • Early recovery UNDP • Coordination and support services OCHA • Education UNICEF • Emergency shelter and non food items IOM • Emergency telecommunications WFP • Food aid WFP • Health PAHO/WHO • Logistic WFP • Nutrition UNICEF • Protection OHCHR • Water, sanitation and Hygiene UNICEF • I-

  8. Status of funding by Cluster of the Flash Appeal for Haiti as of 16 February 2010

  9. Protection Cluster • Protection Cluster conducted assessments of settlement sites in and outside Port-au-Prince. Eleven spontaneous settlement sites with populations ranging from 1,200 to 16,000 people were assessed in Carrefour. Ten of the eleven sites had not received any assistance since the earthquake. • Given identified security concerns in settlements, particularly for women, solar-powered torches have been distributed. • Home visits conducted in Gonaives to monitor those displaced from Port-au-Prince found that most are suffering from PTSD and have not received psychosocial care.

  10. Logistics Cluster • Securing dedicated space at airport to alleviate backlog of supplies. Coordinating storage facilities for all humanitarian actors. Establishing floating docks at the port to raise capacity. • Facilitating border crossing and land travel between Dominican Republic and Port-au-Prince and other cities in Haiti. • Coordination with Haiti’s Department of Civil Protection (DPC) to hand over goods. • Establishing inter-agency warehouses, bringing the Cluster’s storage capacity in Port-au-Prince up to 6,700m2. • Keeping track of what is in the pipeline.

  11. Orphans • In 2007 UNICEF estimated, rough estimate, that there were 380,000 orphans in Haiti. • In mid-2009 Haiti had about 100 licensed orphanages and 67 crèches according to the Haitian Adoption Authority. • No estimates exist of the number of children lost or left without parents following the quake. • UNICEF, in coordination with other agencies on the ground, is currently registering unaccompanied children and providing interim care for them.

  12. Emergency food assistance and food security • The UN halted food deliveries to some 10,000 quake survivors after discovering some fraud. WFP partners restarted distributions on 9 February. • NGOs distributed food to approximately 156,900 people through a 16 fixed distribution point system, bringing the number of people reached through the new system to 1.1 million and the total number of beneficiaries reached to date by WFP partners to 1.8 million people. • By February 11, WFP’s food surge operation has delivered 6,700 metric tons of rice. The goal is to reach 2 million people over a 14 day period.

  13. Shelter and non-food items • An estimated 272,000 people (of an estimated 1.2 million people in spontaneous settlements) have been reached with emergency shelter support. Over 49,000 tarps and 23,000 family-sized tents have been distributed. • Key household non-food items (blankets, mosquito nets, kitchen sets, etc) have been distributed and NFI distribution is planned for sites along the border. • Seven organized settlements have been established for 42,000 displaced people; some 460,000 people remain in 315 spontaneous settlements throughout Port-au-Prince, according to IOM.

  14. Nutrition • 87 community outpatient care centers and/or mobile units are being used to treat severe acute malnutrition. Partners have indicated plans to open 52 additional sites within the next 2-3 weeks. • A supplementary feeding program in temporary settlement sites in Port-au-Prince with initial focus on children under 5, and pregnant and lactating women. • 61 baby-friendly tents are available for nutrition support and counseling on infant and young child feeding. 7,828 care-givers have been given nutritional counseling and 1,165 mothers and infants in settlements have participated in the program.

  15. Water, sanitation and hygiene • Sanitation in the temporary settlement sites remains a concern. • CAMEP reports only minimal damage to water sources, pump houses, and storage tanks but leaks in the distribution system. • 910,000 people are being provided with safe drinking water through water trucks and water treatment at 300 sites. • In Jacmel, more than 260 temporary settlement sites are receiving water through the distribution efforts of cluster partners. The cluster is aiming to scale up provision of safe drinking water to a total of 1.1 million persons per day. • 3,000 portable toilets or latrines that can be emptied will be installed in the coming weeks.

  16. Health Cluster A revised Flash Appeal for Haiti launched on 17 February, focusing on: Funds requested by PAHO/WHO 72.8 millions • Coordination of the health sector response, needs assessment, monitoring and evaluation • Outbreak control and disease surveillance • Water supply and environmental health • Restoration of basic health care services • Control of vaccine-preventable diseases • Treatment and rehabilitation of injured patients. • Availability of essential drugs and medical supplies, including basic improvements to PROMESS • Support to the MoH in the emergency and transition phase

  17. Medical Facilities in Haiti Map, using PAHO/WHO data, shows health facilities as of 4 February 2010.

  18. Health Cluster (Public health) • Surveillance system with 52 sentinel sites countrywide, sites reporting increasing regularly and is now between 20-25. • Health situation room to monitor and investigate cases and provide information to decision makers. • Results of surveillance: • six suspected measles cases but three discarded • one case of acute flaccid paralysis reported in a 3-year old child • last case of diphtheria reported in January 2010 in the North Department. • One case of tetanus registered by the University Hospital; MSF has reported 4 cases; Cuban Brigades, 9 cases.

  19. Health Cluster (Public health) Vaccines: • Targeted immunization campaign (rubella and diphtheria-tetanus-pertussis vaccines for children under 7 years of age) and (diphtheria and tetanus for older children and adults) • First phase: vaccination in temporary settlements (aims to vaccinate approximately 1.5 million people in temporary settlements.) • Phase two: will focus on vaccination of overall population.

  20. Medical Logistics • Since 1992, PROMESS is Haiti’s central pharmaceutical depot, supplying drugs to public health institutions, NGOs, and non-profit organizations, management committee (operational cost recovery). • PROMESS was virtually the only source of drugs and medical supplies in Haiti after the earthquake. • Pharmacists and medical logisticians to sort and classify donations. Massive influx of donations. LSS/SUMA, Logistics Supply Management System, tracks and processes humanitarian supplies and donations. • By 9 February, PROMESS had distributed US $ 1.2 million worth of medicines and medical supplies to more than 250 organizations.

  21. Post Disaster Needs Assessment • The Government of Haiti requested the PDNA on 25 January 2010 in Montreal. • Work starting 23 February 2010. • Executive Interim PDNA completed and circulated 12 March 2010 (proposed Dominican Republic). • Meeting in New York March 2010. • Donors Meeting in Madrid April 2010. • Priority to develop an immediate, medium and long term plan to be presented to donors.

  22. Post Disaster Needs Assessment • Support of the preparation of the document will come from the UN, WB, IDB, and CEE. One of the them is the Social Sector which includes health and education, and also other areas like infrastructure and agriculture. • Designation of staff (special envoys). • Common vision of integrated and sustainable development and a long term commitment of the international community.

  23. Next steps and challenges • Global cluster lead agencies must strengthen their coordination capacity on the ground (appropriate number of staff and level of seniority). • Reestablish the capacity of national authorities to conduct early recovery and reconstruction efforts. • Channel contributions of all donor countries/agencies/partners including private sector • Scale up sufficient basic assistance in some vital areas to the affected population, many of whom remain in life-threatening situations.

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