the health emergency management
TRANSCRIPT
Republic of the Philippines
Department of Health
REGIONAL OFFICE - XIHEALTH EMERGENCY MANAGEMENT STAFF
TEL/FAX: 305-1909
THEHEALTHEMERGENCYMANAGEMENTPreparedness, Response and Recovery Plan
DOH – RO XI
2012-2016
POLICY STATEMENT
It is the policy of the State that it is the responsibility of all governmentdepartments, bureaus, agencies and instrumentality’s to have documented plans oftheir emergency functions and activities.
(Section 1, Article D, Presidential Decree No. 1566, Strengthening thePhilippine Disaster Control Capability and Establishing the National Program onCommunity Disaster Preparedness, President Ferdinand Marcos, June 11, 1978)
”That there is hereby created a Health Emergency Preparedness andResponse Program within the Department of Health. This program are designed tobe comprehensive, integrated and responsive emergency, disaster related service andresearch-oriented program with the goal of promoting health emergency preparednessamong the general public emergencies, disaster and calamities.(ThroughAdministrative Order No. 6-B dated February 12, 1999 by Secretary of Health AlbertoRomualdez, Jr.)
Republic Act No. 10121 also known as the Philippine Disaster RiskReduction and Management Act of 2010.“An act strengtheningthephilippinedisaster risk reduction and management system, providing for the national disasterrisk reduction and management framework and institutionalizing the national disasterrisk reduction and management plan, appropriating funds therefor and for otherpurposes.”
(Section 4.Scope. - This Act provides for the development of policies and plans and theimplementation of actions and measures pertaining to all aspects of disaster riskreduction and management, including good governance, risk assessment and earlywarning, knowledge building and awareness raising, reducing underlying risk factors,and preparedness for effective response and early recovery.)
TABLE OF CONTENTSCOVER PAGEPOLICY STATEMENTTABLE OF CONTENTSI. Background
A. Geographical/ Demographic Data Geographical Location
B. Health /Demographic ProfileTable 1 Projected Population, Land Area & Population Density, 2012Table 2 No.& Ratio to Population of RHUs/MHCs and BHSs, 2012Table 3 Gov’t & Private Hospitals & Hospital Beds Ratio to Population,2012Table 4 Number of Selected Manpower & Ratio to Population, 2012Table 5 Health Program Indicators, by Province and City, 2012Table 6 Vital Health Statistics, 2012 Table 7 Ten Leading Causes of Mortality,2012 Figure 1 Causes of Maternal Mortality Table 8 Ten Leading causes of Infant Mortality,2012 Figure 2 Ten Leading Causes of Morbidity,2012 Table 9 Birthing Homes Table 10 Clinical Laboratory Table 11 Private Hospital Services by Province Table 12 Government Hospital Services by Province
II. Plan Description Definition Contents of the Plan Scope of the Plan
III. Goals and Objectives Goal General Objectives Specific Objectives
IV. Planning Group Planning Group/ Committee structure and Functions Roles and Functions of Planning Group/ Committee Table 13 Hazard Assessment Table 14 Hazard Assessment 2 Table 15 Areas Prone to Hazards Vulnerability Analysis of Southern Mindanao, Philippines Typhoon/ Tsunami Table 16 Flood Prone Areas in Region XI Earthquake
V. Emergency Preparedness Plan Table 17 Hazard Prevention, Vulnerability Reduction and Emergency
Preparedness PlanVI. Management StructuresVII. Roles and ResponsibilitiesVII.Emergency Preparedness PlanVIII. Emergency Response PlanIX. Recovery and Reconstruction PlanX. Annexes
I. BACKGROUNDA. GEOGRAPHICAL/ DEMOGRAPHIC PROFILE:
Located on southern portion of the country in the island of Mindanao, the region ofSouthern Mindanao comprises of four provinces and six cities. The provinces includeDavao Oriental, Davao del Norte, Compostela Valley and Davao del Sur while thecities are the following: Davao City, Tagum City, Digos City, Panabo City, IslandGraden City of Samal and Mati City. With an estimated population of 4,362,701 by year2010, Southern Mindanao has a total land area of 19,736 square kilometers. The areahas both a coastal and a mountainous terrain. The DavaoGulf upon whose entrance isa big island, the island of Samal, covers the southern border. Beyond the waters of theDavaoGulf is the Celebes Sea which runs towards the Celebes Sea in the west andIndonesia to the South. It merges with the Pacific Ocean along the southeasternportion.
Inland, the region is bordered in the northwest by the tallest mountain in thePhilippines, Mt.Apo, rising to more than 3,000 meters above sea level. It is a series offour mountain ranges, which surround the city from the northern and easternapproaches. Along the west is a series of rugged mountains, which form the bulk of theMt.Diwalwal. One of the city’s distinct geographic peculiarities is its strategic proximityto leading countries in the South Pacific Rim such as Australia, Indonesia, Malaysiaand Singapore.
Topography
A major portion of Region XI is mountainous, characterized by extensive mountainranges with uneven distribution of plateaus and lowlands. The mountain range on thewestern side extends far down to South Cotabato. This mountain range is the seat ofMt.Apo, the highest peak in the country.
Geographical Location:
Davao Region is composed of (4) Provinces,(1) Independent City and (5) component cities:
1. Compostela Valley (CV)2. Davao del Norte (DN)3. Davao Oriental (DO)4. Davao del Sur (DS)5. Davao City (DC)6. Tagum City (T)7. Digos City (D)8. Panabo City (P)9. Island Garden City of Samal (IGACOS)10. Mati City (M)
Boundaries;
• Agusan del Sur (North)• DavaoGulf and Celebes Sea (South)• Philippine Sea (East)• Bukidnon, North Cotabato and SouthCotabato (West)
Total Land Area: 19,736 sq. km.
Table 1.Projected Population, Land Area & Population Density, 2012
Province/CityProjected Population Land Area
(sq. km.)Population
DensityNumber %
Compostela Valley 748, 800 15.9 4,667 160
Davao del Norte 984, 399 20.9 3,640 270
Davao Oriental 517, 099 11.0 5,165 100
Davao del Sur 916, 700 19.5 3,820 240DavaoCity 1,544,903 32.8 2,444 632
Davao Region 4,711,901 100.00 19,736 239
(CV)(DC)
(DS)
(DO)
(DN)
(IGACOS)
(T)(P)
(D)
(M)
B. HEALTH PROFILE:
PUBLIC HEALTH FACILITIES:
Table 2.No. & Ratio to Population of RHUs/MHCs and BHS’s, 2012
Province/City MainHealthCenter Brgy Health Station
Number Ratio # of Barangay Number Ratio
Compostela Valley 11 1: 68,073 237 177 1: 4,231
Davao del Norte 13 1: 75,723 223 224 1: 4,395
Davao Oriental 11 1: 47,009 183 189 1: 2,736
Davao del Sur 15 1: 61,113 337 309 1: 2,967
Davao City 16 1: 96,556 182 154 1: 10,032
Davao Region 66 1: 71,392 1,162 1,053 1: 4, 475Only 90.6% have BHSs out of 1,162 barangays.
HOSPITALS:
Table 3.Gov’t & Private Hospitals & Hospital Beds Ratio to Population, 2012
Province/City
No. of Hospital No. of Hospital Beds
Gov’t Private Total Gov’t Private Total Ratio toPop’n
CV 4 7 11 70 112 182 1: 4,114DN 4 21 25 275 844 1,119 1: 880DO 5 1 6 160 50 210 1: 2,464DS 5 34 39 179 920 1, 099 1: 834DC 2 26 28 438 1,684 2,122 1: 724
DavaoRegion 20 89 109 1,122 3,610 4,732 1: 996
Table 4.Number of Selected Health Manpower & Ration to Population, 2012
Man Power CV DN DO DS DCTOTAL Davao Region
No. Ration
Doctors 13 17 11 18 14 73 1: 64,547
Dentists 10 12 11 11 12 56 1: 84,141
Nurses 20 39 21 34 30 144 1: 32,722
Midwives 153 130 191 160 73 707 1: 6,665
Nutritionist 2 9 3 3 19 36 1: 130,886
Med. Tech 15 15 12 13 16 71 1: 66, 365
Sanitary Engineers
Sanitary Inspector 17 11 19 22 17 86 1: 54, 790
Dental Aides 10 11 10 15 13 59 1: 79, 863
Brgy Health Workers 1899 2451 2365 3523 972 11,210 1: 420
Table 5. Health Programs Indicators, by Province and City, 2010INDICATORS Region CV DN DO DS DC
% Fully immunized Child 86.2 82.2 91.1 81.7 80.3 90.7% Measles Drop Out Rate (2006) 6.3 -1.3 7.6 3.1 6.3 9.9% DPT Drop Out rate (2006) 5.2 2.6 6.4 4.6 6.2 5.1% OPV Drop Out rate (2006) 4.5 2.5 4.4 4.7 4.6 5.0% Child Protected At Birth 81 77 83 74 76 88% Low Birth Weight 2.7 2.0 2.5 2.3 1.4 4.0% Excl. BF for 6 mos. 74.3 67.8 78.1 78.8 72.9 74.0% 0-71 months old Malnourished Children 6.7 7.3 5.5 6.3 11.1 4.7% 6-71 months given Vit. A 98 100 95 98 100 99% Pregnant women w/5 PNV 23 31 26 16 17 23% PW given iron for 6 mos 27 33 32 18 15 31% Fully Immunized Mother (2006) 68.4 88.6 67.6 64.0 68.2 60.6% Deliveries attended by skilled health Professionals(2006) 50.0 41.1 51.1 43.4 34.7 65.5
% Contraceptive Prev Rate (2006) 55.2 62.4 63.2 45.9 52.3 51.8Total Fertility Rate (2006) 2.4 2.6 2.4 2.5 2.5 2.3% PP women initiated BF 72 69 72 67 67 79% Quality Prenatal Care 27 38 18 28 8 38% Quality Pospatrum Care 54 61 60 50 32 62% HH with Sanitary Toilets 88 95 67 94 94 91% HH w/ Access to Safe H2O 81 84 91 77 83 83
Table 6. Vital Health Statistics, 2012Province/City CBR* CDR** MMR*** IMR**** YCMR
Compostela Valley 21 2 70 6 2.2
Davao del Norte 21 3 71 4 3.2
Davao Oriental 20 3 134 5 3.2
Davao del Sur 20 3 110 6 2.1
DavaoCity 22 5 39 12 5.6
Davao Region 21 3 24 7 3.7 CBR- Crude Birth Rate per 1,000 pop’n CDR- Crude Death Rate per 1,000 pop’n MMR- Maternal Morality Rate per 100,000 livebirths IMR- Infant Mortality Rate per 1,000 livebirths YCMR- Young Child (1-4 y.o) Mortality Ratio per 1,000 Livebirths
Table 7. Ten Leading Causes of Mortality, 2012CAUSES NO. OF DEATHS RATE PER 100,000
POPULATION
1. Disease of the Circulatory System 3,579 76
2. Diseases of the Heart 2,069 44
3. Pneumonia 1,992 42
4. Malignant Neoplasm, all forms 1,349 29
5. Accident, all forms 1,172 25
6. Diseases of the Genitourinary System 731 16
7. Diseases of the Digestive System 663 14
8. Diseases of the Respiratory System 621 13
9. Diabetes Mellitus 597 13
10. TB, all forms 574 12
0
5
10
15
20
25
30
No. of Deaths Rate/100T Livebirths
29 2929 29
7 75 5
2 2
Complication of labor &delivery
Oedema, Protenuria &hypertensive disorder inPreg.Complicationpredominantly related topuerperiumOther obstetric conditions,not elsewhere classified
Pregnancy with abortiveoutcome
Maternal care related tothe fetus & amniotic
Figure 1.Causes of Maternal Mortality, 2012
Table 8. Ten Leading causes of Infant Mortality- Davao Region, 2012CAUSES NO. OF
DEATHSRATE PER 100,000
LIVEBIRTHS1. Pneumonia 114 115
2. Respiratory & Cardiovascular disorder specific to perinatal 88 89
3. Other disorder originating in the perinatal period 81 82
4. Infection specific to the perinatal period 70 71
5. Fetus & newborn affected by maternal factors and bycomplication of pregnancy, labor and delivery 56 57
6. Congenital Malformations 50 51
7. Septicemia / Sepsis 46 47
8. Disorder related to length of gestation 35 35
9. Diseases of the heart 26 26
10. Diarrhea 15 15
Figure 2.Ten Leading Causes of Morbidity, Davao Region, 2012
Table 9Birthing Homes
Table 10. Clinical Laboratory
Province/City Number
DavaoCity 21
DavaoDel Sur 3
DavaoDel Norte 6
Davao Oriental 1
ComvalProvince 1
Total 32
PROVINCE/ CITYFree-standing Hospital-Based
TotalPrivate Gov’t Private Gov,t
CV 1 0 6 4 11
DN 2 0 20 4 26
DO 1 0 1 5 7
DS 3 0 35 5 43
DC 20 1 25 5 51
TOTAL 27 1 87 23 138
0 500 1,000 1,500 2,000
Acute Respiratory Infections
Influenza and Pneumonia
Diarrhea and Gastroenteritis
Disease of the…
Hypertensive Diseases
Dengue Fever
Chronic Lower Respiratory…
Tuberculosis, all forms
Diseases of esophagus,…
Other Viral Diseases
causes No. of cases
3,245
3,340
3,672
4,791
8,212
11,528
11,752
17,307
23,230
79,666
HOSPITAL SERVICES:
Table 11.Estimated Private Hospital Services
PROVINCE/CITY
PRIVATE
No. ofAmbulance
BurnUnit
TraumaUnit ICU CCU NICU Decontamination
areaIsolationRooms Total
CV 0 0 1 0 0 0 0 0 1
DN 5 1 1 3 5 1 4 20
DO 1 1 1 1 1 1 6
DS 6 1 2 2 2 1 5 19
DC 10 6 6 6 4 6 6 6 50
TOTAL 22 8 10 12 4 14 9 16 95
Table 12.Estimated Government Hospital Services
PROVINCE/CITY
GOVERNMENT
No. ofAmbulance
BurnUnit
TraumaUnit ICU CCU NICU Decontamination
areaIsolationRooms Total
CV 3 1 1 1 1 1 8
DN 4 1 1 1 1 1 1 1 11
DO 2 1 1 2 6
DS 5 1 1 1 2 10
DC 15 1 1 1 1 1 1 3 24
TOTAL 29 2 4 5 2 5 3 9 59
II. PLAN DESCRIPTION
PLAN DEFINITION
The title of this plan is The Health Emergency Management Plan (PreparednessResponse & Rehabilitation Plan) for Davao Region .This plan has been formulated byvirtue of AO 168 & AO No.6-B that there is hereby created such a plan. This plan isdesigned to be comprehensive, integrated & responsive to any health emergency &disaster that may affect the region. It comprises three major phases whichencompasses the whole spectrum of health emergency and disaster management. Itdefines the overall direction of the CHD-DR office in response to all healthemergencies & disasters.
CONTENTS OF A PLAN
The Health Emergency Preparedness Response & Rehabilitation Plan of DavaoRegion contains the policy statement & declaration of principles. It also containsgeographic & demographic background of the region. It reveals hazard vulnerabilityassessment, risk assessment & spells the capability & capacity of all concern entitiesthrough capability analysis. It also contains the specific roles & functions of keyplayers in emergency management as well as the resources available.
SCOPE OF THE PLAN
This Plan shall be implemented by the Center for Health Development Davao Regionin times of emergencies and disasters. This will complement & should be integrated tothe emergency and disaster plan of the health sector and the overall disaster plan ofthe RDRRMC.
III. GOALS AND OBJECTIVES
GOAL:
To reduce injuries and mortalities related to health emergencies and disasters.
GENERAL OBJECTIVES:
To capacitate and strengthen the Health Emergency Management System ofthe DOH-RO XI, Local Government Units and other health sectors in the Region.
SPECIFIC OBJECTIVES:
• To strengthen capability of responders through conduct of trainings, seminars,orientations & drills related todisaster and health emergency management.• To provide of technical and logistical support to affected population.• To ensure availability of adequate logistics and it’s prepositioning in
preparation for any events and incidents.• Strengthen networking w/ other responding agencies within and outside the
region.• To review & update existing guidelines, procedures, protocols onemergency/disaster management.• To establish efficient & effective communication system.• To strengthen capability of Operation Center (OpCen)
IV. PLANNING GROUP
PLANNING GROUP/ COMMITTEE STRUCTURE & FUNCTIONS
ROLES AND FUNCTIONS OF PLANNING GROUP/COMMITTEE
1. Develops, reviews and updates the DOH-RO XI Health EmergencyPreparedness , Response & Rehabilitation Plan
2. Gathers relevant information required in planning and gain commitment of keypeople and organizations
3. Initiates testing of the plan for its functionality and adaptability to currentsituation
4. Develops annual Operational Plan and other plans relevant to HealthEmergencies or Disasters
5. Ensures the dissemination of the plan to other key stakeholders & its integrationto the overall health sector emergency & disaster plan
Table 13 Hazard AssessmentNatural Hazards
1. Flashflood2. Wild/Forest Fire3. Storm surge4. Earthquake5. Landslide6. Tsunami7. Typhoon8. Volcanic eruption9. Tornado
10. La Nina/el NiñoBiological
1. Disease outbreak/ epidemic-Cholera, typhoid, dengue, measles, malaria, Meningococcemia, Emerging and Re-
emerging diseases.2. Red tide phenomenonTechnological
Food poisoning, Chemical poisoning, mercury poisoning ,fire, gas explosion , vehicular accidents,plane crash, maritime disaster, radiological disasters
SocietalRallies, stampede, terrorism, armed conflict, tribal war
Table 14 Hazard Assessment 2
RD/ARDHEMS Coordinator/ Asst. HEMS
CoordinatorRepresentatives from
other stakeholders
Secretariat
Chief Local HealthSystems Division
AO/ BudgetOfficer
Chief PlanningOfficer
Supply Officer
Hazard Severity(A)
Frequency(B)
Extent(C)
Duration(D)
Manageability(E)
Total(A+B+C+D) -E
NaturalFlashfloodEarthquakeLandslideTsunamiVolcanic eruptionTornadoLa Nina/el NiñoTyphoon
54311125
53411121
43311124
43311121
33322222
15101022269
BiologicalCholera
TyphoidDengueMalariaMenningoAISARSMeaslesRed tide
435521144
355541144
455531133
444531143
555551153
10121415733
1011
TechnologicalFireFood poisoningChemical poisoningMercury poisoningMaritime disasterRadiological disasterGas explosionVehicular accidentsPlane crash
543332345
543321251
532231255
222321232
431211231
131099947
1412
SocietalRalliesStampedeArmed conflictTribal warTerrorism
43544
51542
31552
21531
53223
93
18146
Table 15 Areas Prone To HazardsHazards Affected Provinces/Municipalities/Cities
Fire Davao City, Tagum City Digos City, Panabo City, Mati City
Earthquake Davao Oriental, COMVALProvince
Disease Outbreak All Areas
Tsunami Davao Oriental, Davao Sur
Mercury Poisoning COMVAL Province, Davao del Norte
Armed Conflict All Areas
Terrorism DavaoCity, DigosCity, TagumCity, PanaboCity
Tribal War Davao Norte, COMVAL Province
Volcanic Eruption COMVAL Province, Davao Norte
Flashflood All Areas
Landslide All Areas
HAZARD MAP
LEGEND:
VULNERABILITY ANALYSIS OF SOUTHERN MINDANAO, PHILIPPINES
I. TYPHOON/TSUNAMI/STORM SURGE
The Country lies wet of the WesternNorthPacificBasin- the world’s largest and mostprolific spawning ground of tropical cyclones. About twenty typhoons visit the countryannually, of which nine hit land fall. They occur usually in the latter half of the year andexact a huge toll in terms of damage to infrastructure in its wake.
On the average, the Philippines is affected by two kinds of prevailing winds per year.Generally on the first half of the year, the country is affected by strong northwesterlywinds that originate within the Pacific rim moving clockwise along the whole Pacificregion. These winds often pass along the eastern seaboard of the country and alongthe eastern coast of the island of Mindanao. It often traverses and transects thecountry along the middle region of the country, called theVisayas Region, andcontinuing on towards the South China Sea on a northwesterly direction. Prevailingwinds usually come from the Pacific rim traveling on a northwesterly direction duringthe early parts of the year and pass by the archipelago along the upper half of thecountry. Climactic changes and gravitational changes are felt later on at the latter partof the year where cold crisp northern winds coming from the Continental Asia and
DVOCITY1,3,6,7,10,11,12
DAVAO NORTE1,3,5,6,7,8,9,10,11,12
COMVAL2,3,5,6,8,9,10,11,12
DVO ORIENTAL2,3,4,6,10,11,12
DVO SUR1,3,4,6,7,10,12
,• 1-Fire• 2-Earthquake• 3-Disease Outbreak• 4-Tsunami• 5-Mercury Poisoning• 6-Armed Conflict• 7-Terrorism• 8-Tribal War• 9-Volcanic Eruption• 10-Flashflood• 11-Landslide• 12-Tyhpoon
China affect the country from a south-easterly direction. This generally referred locallyas “Habagat” winds.
Because of the unique geographic location of the region, with two big mountain rangescovering its northwestern and easterly approaches, the region averages one to twotyphoons a year, and are mostly of moderate winds and rainfall. Surrounding mountainranges protect the eastern and western approaches. The presence of SamalIsland andthree other smaller islands offer tsunami protection to the coastal areas of the region.The heavily forested areas along the mountain ranges acts as strong barriers and ahuge watershed protecting the city from flashfloods and heavy flooding althoughcurrent environmental estimates have raised alarming concerns on denuding forestscovers through illegal logging and “slash-and-burn” farming.
However, strong waves generated by tropical depressions are generated in the gulf isenough to affect the coastal communities. These communities are highly vulnerable tohigh waves and strong winds as they are usually made out of wooden stilts, plywoodand wooden planks, which make up frail structures. As the historical culture of thesepeople is tightly bounded to water there is some degree of difficulty in implementingmitigation measures against typhoons and tsunamis. The coastal population has beenestimated to be between 50,000 to 100,000 people.
Inland, most structures and shelters are one-to-two stories high, concrete-based andwith/without concrete walls. Walls are mostly made of wood in less urban areas butconcrete walls are preferred in urban areas. Roofs generally are of the corrugated GIsheets nailed to wooden beams. Building codes enforce anti-typhoon and anti-earthquake measures such as limited heights, use of lightweight but durable roofingmaterials and storm windows. About 50% of the populations live within the urban areasand the rest are scattered all over the countryside.
Table 16.Flood Prone Areas in Region XI
Davao del Norte
1. Panabo City2. Carmen3. Dujali4. Sto. Tomas5. Kapalong6. Asuncion7. TagumCity8. New Corella
CompostelaValley
1. Monkayo2. Montevista3. Mawab4 Nabunturan5 New Bataan6. Pantukan7. Mako
8. Mabini9. Compostela
Davao Oriental
1. Banaybanay2. Lupon3. San Isidro4. Gov. Generoso5. Mati City6. Tarragona7. Manay8. Caraga9. Baganga10. Cateel11. Boston
Davao del Sur
1. Sta. Cruz2. Digos City3. Malita4. Sta. Maria5. Bansalan6. Don Marcelino
DavaoCity
1. Toril2. Talomo3. Buhangin4. Bunawan
RISK ASSESSMENT
Southern Mindanao has a moderate probability in experiencing strong typhoons ormajor tropical depressions because of its unique geographical location. It is actuallyprotected from strong winds and storms from the north because of thepresenceMt.Apo. However, its eastern flanks have a higher probability to experiencetyphoons and tsunamis. Its major concern , however, is the coastal population, which isdeemed to be high risk from typhoons and tropical depressions.
II. EARTHQUAKE
The Philippines lies between two major tectonic plates. The Philippine Fault Zone runsthe middle of the country generating as much as 5 earthquakes a day where most areimperceptible to human senses.
The region is surrounded by numerous earthquake faults running the entire breadth ofthe country. Most famous is the Philippine Trench found in the eastern seaboard of thearchipelago. Known to be one of the most deepest trenches in the world, the Philippinedeep represents a major fault line which travels on a north-south direction evenreaching as far as Japan and Indonesia in the south. Another major fault line is theMindanao fault that is an extension of the Manila-Negros-Sulu trench. Found generallyalong the western portion of the archipelago, this fault extends all the way to theCelebes Sea. Another trench is found in the Gulf of Davao and Celebes Sea area.Known as the Davao Trench, this extends on a southeasterly direction towards theSouth China Sea.
The Philippine Fault Zone is a major fault zone which is presently active and hasgenerated several earthquakes within the last decade but not of severe magnitude andproportion. This fault entirely runs along the middle of the island. Historically, southernMindanao, especially the DavaoCity area, has had only 6 major earthquakes of 5.0magnitude and over since 1806. The last two were in 1987 (5.5) and 1990 (5.4). Nomajor damage was reported. GeneralSantosCity experienced a 6.8 on the Richterscale last February 2002.
Mitigation measures such as strengthening city building codes include anti-earthquakeregulations. These include height restrictions in populated areas, use of concrete wallsand foundations and sturdy but lightweight roofing materials (combination of polymerresins and plastic which is strong and weather resistant to heat and seawater).Residential areas have houses which are built on a combination of wood, concrete andsteel construction Due to the rising cost in building materials, ingenuous developershave resorted to building low-cost single story, single family housing projects whichgenerally offers moderate protection from earthquakes. These maybe due tosubstandard materials and bulk construction procedures. Further inland, houses aregenerally wooden and “nipa” (dried coconut palm fronds) construction with nipa roofs.Some use bamboo poles and split bamboo as walls.
RISK ASSESSMENT
Based on these data, the region has a moderate-to-high risk of having a majorearthquake. Mostly affected would be the low-cost residential and urban areas. Thiscomprises about 60% of the population which is more than one million people.
V. EMERGENCY PREPAREDNESS PLANTable 17.HAZARD PREVENTION, VULNERABILITY REDUCTION AND RISK REDUCTION PLAN
DOH – REGIONAL OFFICE XI
HAZARD VULNERABILITY RISK STRATEGIES/ACTIVITIES
TIMEFRAME
RESOURCE REQUIREMENT PERSONSRESPONSIBLE INDICATOR
REQUIRED AVAILABLE RESOURCE
FLASH-FLOOD
People livingin low lying
areas
Silted riverbanks
Poor drainagesystem
DeathsDisplacement
Injuries
DisabilitiesEnv’l
degradation
Economiceffect
diseases
Procurement andprepositioning ofneeded logistics
Improve drainageSystem
Political advocacy onrational land use/ land
zoning
Setting up of earlywarning system
Formulation &dissemination ofevacuation plan
Intensity IEC onpreventive measuresConduct regular drills
January-December Agenda in
LHB
Consultativemeetings,Protocols,Funding
Consultativeplanning,funding,schedule
IEC materials
Schedule,funding
Funding fordrugs & meds,
supplies,compact foods
Advocacy
IEC materials
Available butlimited
CHD,DRRMC’s
DRRMC’s,LGU
CHD, LGU
LHB
LGU, DRRMC’s
LGU, DRRMC’s
LGU, DRRMC’s
DRRMC’s, LGU
CHD, LGU
LHB, DRRMC’s
Ordinance on landzoning enacted &
strictly implementedEarly warning systeminstalled & operational
Plan formulated &disseminated
Well informedcommunity
Well preparedresponders and
communityCommunity
Logisticsavailable & distributed
Functional drainagesystem
TSUNAMI Communityliving
in coastal areas
Existing activefault lines
Lack ofawareness onthe threat of
tsunami
Areas exposedto open seas
-do- Land zoning
Institutionalization ofearly warningmechanism
Formulate /disseminateevacuation plan
Conduct regular drills
Logistics procurement& prepositioning
IEC
Capability building onEMS, BLS
-do- Advocacy
Consultation,protocol
Planning,schedule,
funds
Schedule,funding
Drugs/medsSuppliesFunds
Compact-foods
IEC mats, TE
Trainingsfunds
Available butlimited
IEC, TE
Limited
LGU
LGU,DRRMC’s
CHD, LGU
CHD, LGU,DRRMC’sDOH-COCHD,LGU
LHB, LGU
DRRMC’s, LGU
DRRMC’s, LGU
DRRMC’s, LGU
CHD, LGU
CHD, LGU,DRRMC’sDOH-CO
CHD
Land zoning ordinanceenacted andimplementedEarly warning
mechanism installed
Plan formulated &disseminated
Well preparedcommunity
Logistics procured &distributed
Well informedcommunity
Pool of trainedresponders
DISEASEOUT
BREAK(includingemerging
& re-emergingdiseases)
High prevalence ofmalnutrition
Low FICcoverage
Poor SanitationPractices
Poor DiseaseSurveillance
Poor diseasereporting
Overcrowding,Poverty
InefficientQuarantinemeasures
DeathsDisabilitiesIllnesses
Enhance nutritionprograms to reduce
malnutrition rate
Increase FIC coverage
Strict implementation ofsanitation code
Strengthen SurveillanceSystem
Capability building/Trainings
Establishment offunctional Local
Surveillance Units
Strengthen reporting &referral
Systems
Procurement &prepositioning of
logistics
Intensify IEC on healthpromotion & disease
prevention
Strict enforcement ofquarantine measures,
Review policies
-do-Funding,
revisit nutritionpolicy
Nationalspecial
campaigns,funding
Political will,advocacy
Trainings,Seminars,
Orientations,Funds
-do-
Advocacy,Funding
MOA
AdvocacyMOA
Protocols
Funds fordrugs/meds
Lab. Supplies
IEC mats., TE
Consultation,Meetings, TE
Limited
Limited
Limited
IEC mats., TE
DOH-CO
DOH-CO
LGU
DOH-CO
DOH-CO
DOH-COLGU
CHD
CHD-LGU
CHD-LGU
CHD-CO
CHD, LGU
CHD, LGU
LGU
CHD-RESU
CHD-LGU
CHD-RESULGU
CHD-LGU
CHD-LGU
CHD-LGU
CHDBOQ
Effective NutritionProg.
High level communityimmunity.
Highly sanitizedenvironment.
Effective surveillancesystem
Pool of trainedpersonnel
FunctionalSurveillance
units installed& operational
Prompt reporting &functional referral
systems
Logistics available &distributed
Well informedcommunity
Effective Quarantine
EARTHQUAKE
Communityliving on
active faults
Low qualityconstructionof buildingstructures
PoorImplementationof building code
Nonimplementationof land zoning
ordinance
DeathsDisplacement
Economic effectDisabilities
Injuries
Land zoning (ID ofactive faults
Evacuation Planformulation
Conduct regular drills
Capability building onEMS
IEC, Advisories
Logistics procurementand prepositioning
Strict enforcement ofbuilding code
Capability building ofresponders
-do-
Political will,Advocacy
ConsultationPlanning
ScheduleFunds
EMTtrainings
BLS trainingsFunds
IEC matsTE
Drugs/medsLab. Supplies
PPE’sTE
FundsAdvocacy
Limited funds
IEC matsTE
Limited
LGUOther
stakeholders
LGU
CHDLGU
CHDDRRMC’s
CHDLGU
LGUOther
Stakeholders
LGUDRRMC’s
LGUDRRMC’s
DOH- centralCHD911
CHDDRRMC’s
CHDLGU
LHBDRRMC’s
LGU
CHD, LGU
Zoning ordinanceenacted &
implemented
Plan available anddisseminated
Well prepared targetgroups
Trainings conducted
Well informedpopulace
Available logistics anddistributed
building codeimplemented
Well trainedresponders
VOLCANICERUPTION
Existing activevolcano Lake
Leonard
Communitiesaround volcano’s
perimeter
DeathsDisabilities
InjuriesDisplacement
IllnessEnvi damageEcon. Effects
Land zoning
In-place earlywarning system
Risk communication
Existing EvacuationPlan
Conduct of drills
Capability building ofresponders
Logistics procurementand prepositioning
Relocation of high riskcommunities
ASAP
ASAP
All yearround
ASAP
Jan-Dec
Jan-Dec
Jan-Dec
ASAP
Political will,Advocacy
Consultation,protocol
Link withMedia for infodissemination
Consultativeplanning,funding,scheduleSchedule
Funds
Training fund
Agency funds
LGU initiative
Need tostrengthen
Network withDOST
and PHIVOCS
LGUfunds/initiative
Limited fundson training
Limited
LGU initiative
LGU
LGU, allagencies
LGU, allagencies
LGU
RDRRMC/DOST/PHIVOCS
All agencyMedia
LGU, DRRMC’s
LGUDRRMC’s
LGU, allstakeholders
LGU, CHD
LGU, allstakeholders
Zoning ordinanceenacted &
implementedEarly warning
mechanism installed
Well informed andprepared community
Plan available anddisseminated
Well prepared targetgroups
Well trainedresponders.
Availableprepositioned logistics
Relocated high riskcommunities
LANDSLIDE Community near
or on the foot ofthe mountains
Known miningsite areas
Erodedhighlands
Deforestation
Illegal loggingactivities
DeathsDisabilityInjuries
DisplacementEnvi. Degradation
Morbidities
Strictimplementation ofexisting laws and
ordinances againstillegal logging,
rampant mining,land zoning
Hazard mapping (IDof landslide prone
areas)
Risk communication
Relocation of highrisk communities
Reforestationactivities
Logisticsprocurement and
prepositioning
Capability building
All yearround
ASAP andcontinuously updating
All yearround
ASAP
All yearround
Jan-Dec
All yearround
Political will
Advocacy thruLHB,RDRRM
C agenda
Network withMGB
Link withMedia for infodisseminationLGU initiative
Link with DAfor provision of
seedlings
Conduct ofTree planting
as regularactivity
Agency funds
Training funds
Need tostrengthen
-do-
Available
Limited
Limited
LGU
LGU, AllAgencies
-do-
LGULHB, RDRRMC
MGB
All Agencies,MediaLGU
LGU, AllAgencies
-do-
LGU. AllStakeholders
-do-
Laws and Ordinancesstrictly enforced withsanctions to violators
Existing updatedhazard map
Well informed andprepared community
Relocated high riskcommunities
Increased forest landarea
Availableprepositioned logistics
Well trainedresponders
Recommendation:1. Modify the template: include costing2. Include/coincide
STRATEGIES/ ACTIVITIES TIME FRAMERESOURCE REQUIREMENT PERSONS
RESPONSIBLE INDICATORREQUIRED AVAILABLE SOURCE
Operationalization andequipped HEMS-Operation
CenterJuly-Dec 2013
Funding, Trainingand
scheduleDOH-RO HEMS Coordinator /
ManCom
Functional andoperational
OPCEN andtrained
personnel
Capability Building for LocalGovernment Unit and
Partners2013-2016 Funding and
schedule DOH-RO HEMS Coordinator
Trainedpersonnel and
functional HealthEmergency
ManagementUnit in LGU level
Procurement of 4x4 pick uptruck unit (exclusive for
HEMS) Jan-Dec 2014 Funding DOH-RO HEMS Coordinator /ManCom
AvailableExclusiveVehicle
Procurement of Ambulance Jan-Dec 2014 Funding DOH-RO HEMS Coordinator /ManCom
Available CHDAmbulance
Procurement of OperationCenter Equipments, supplies
and IT items Jan-Dec 2014 Funding DOH-RO HEMS Coordinator /ManCom
Availablelogistics and
materials
MANAGEMENT STRUCTURES
Legend:
RHAT- Rapid Health Assessment TeamDHT - Disaster Health Team
Legend:
OD – Officer of the DayGOD – Guard on DutyAA – Attached AgenciesLegend:
OD – Officer of the DayGOD – Guard on DutyAA – Attached Agencies
PIOLIASON
OPERATIONS
FINANCEPLANNING
LOGISTICS
HEALTH EMERGENCY COMMANDSTRUCTURE
SAFETY &SECURITY
RD/ARDOver-all Incident Commander
RESU ENV NUT CISDINFRAMORTHEM TEAMS BLOOD HUMANRES.
DRUGSSUPPLIESEQUIPT.
TRANS
COMM. MEDIA REC/DOC
RHA
DHT
ATTACHMENT -A
Legend:
OD – Officer of the DayGOD – Guard on DutyAA – Attached Agencies
HEALTH EMERGENCY RESPONSE FLOW
O.D
RD/ARD
RHEMS
RESU
PHTL
DOHREP
DOHA.A.
DOHHOSP
G.O.D.
SOURCE
HEMSOSEC
NEC
OTHERAGENCIE
S
OTHERAGENCIES
media
Legend:
OD- Officer of the DayGOD- Guard on DutyAA- Attached AgenciesPHTL- Provincial Health Team LeaderPHNCC-PopulationHealthNutritionCommunication Center
O.D
RD/ARD
RHEMS
RESU
PHTL
DOHREP
G.O.D.
INFO
OSEC
media
HEMS NEC
DOHHOS
P
AA &OTHER
AGENCY
PHNCC
HEALTH EMERGENCY REPORTING FLOW
HEALTH EMERGENCY RESPONSE FLOW
O.D-log in info-verify info
-assess situation-inform/submit reports
to RHEMS/RESU-inform RD/ARD if
urgent
G.O.D-log in info
-fill up call sheet-inform O.D
INFO
non-urgent
WELL COORDINATED/COLLABORATEDMANAGEMENT OF HEALTH EMERGENCIES
RHEMS/RESU-re-assess
-inform/coordinateconcern agencies/
units-inform RD/ARD
-provide assistanceas required
-submit reports
RD/ARD-activate code alert-may or may not
activate ICS-may or may not
activate HEM Plan
urgent
OTHERRESPONDING
AGENCIES
RHEMS/RESU-inform RD/ARD
immediately-coordinate other
Agencies/lgu’s-submit reports
MEDIA
EMERGENCY INFO.
GUARD ON DUTY
SOD
CONFIRMED INFO. UNCONFIRMED INFO.
URGENT NON-URGENT
RD/ARD/HEMS COORD.
REPORT/ENDORSE
STANDARD OPERATING PROCEDUREHEALTH EMERGENCY MANAGEMENT
PIO
LIASON
SECURITY
OVER-ALL INCIDENT
OPERATIONS FINANCE PLANNING LOGISTIC
S
RD /ARD
SAFETY &
ORGANIZATIONAL STRUCTUREHEALTH EMERGENCY MANAGEMENT
REPORT/ENDORSE
LOGISTICS
HEALTH EMERGENCY MANAGEMENT
BLOOD
ORGANIZATIONAL STRUCTURE
TRANSPORT SUPPLIESDRUGS/MEDS
HUMANRESOURCE
OPERATIONS
HEALTH EMERGENCY MANAGEMENT
NUTRITIONRHA/DHT
WASH MDM MHPSS RESU INFRA
ORGANIZATIONAL STRUCTURE
PIO
HEALTH EMERGENCY MANAGEMENT
ORGANIZATIONAL STRUCTURE
COMMUNICATIO MEDIA RECORDSDOCUMENTATION
CLUSTER APPROACH RESPONSE FLOW(WASH, Nutrition, Health and MHPSS)
Regional Cluster Member Agencies/ Offices(Focal Person)
DOH-CHD DAVAO REGION(Cluster Focal Person)
RDRRMC(OCD XI)
Pre-Deployment
Final Briefing
Deployment
LGU(Incident Command Post)
Integration andOnsite Briefing
WASH HEALTH NUTRITION MHPSS
WASH, Health,Nutrition and
MHPSS ClusterTeams
Community/ Evacuation Site
VII. ROLES AND RESPONSIBILITIES
HEALTH EMERGENCY MANAGEMENTINCIDENT COMMAND SYSTEM
I. OVER-ALL INCIDENT COMMANDER
1. Dr. Abdullah B. Dumama, Jr.– Regional Director2. Dr.Annabelle P. Yumang – OIC Asst. Regional Director3. Dr. Paulo S. Pantojan – HEMS Coordinator
Duties & Responsibilities:
1. Exercises overall supervision and control of all healthactivities in the field during the disaster.
2. Acts as spokesperson
3. Activates / Deactivates the Health Emergency Plan
4. Leads the implementation of the Health Emergency Planand other health emergency responses conducted bythe DOH-RO XI.
II. PLANNING UNITPersonnel:
1. Assistant Regional Director- Team Leader2. Division Heads3. DRH, SPMC Chiefs and Head of MHDO4. Engr. Alice Crumb5. Engr. Lorena Orilla
Duties & Responsibilities:
1. Provides planning support to the disaster team leader.
2. Receives and processes up-to-date and accurateinformation from the DOH-RO XI OPCEN regarding thehealth emergency and plans out subsequentappropriate strategies or approaches.
3. Generates proper and accurate data and information toassist the RD in making sound decisions.
III. FINANCE UNIT
Personnel:
1.Ms. Rosalinda R. dela Cruz- Team leader2.Ms. Lilia Orallo3.Ms. Bernadette Bendejo4.Ms. Annabelle Ramos5.Ms. EstelitaAnos6.Ms. Amelia Pedreso7.Ms. Nancy Chiang8.Ms. Fe Jose
Duties & Responsibilities:
1.Provides budget and financial support to HEM activitiesconducted.
2.Facilitates the preparation of necessary financial andbudgetary requirement for efficient and promptpurchase of requests.
IV. LOGISTICS UNIT
A. SUPPLIES, DRUGS, EQUIPMENTS SUB-UNIT
Personnel:
1. Dr. Annabelle P. Yumang – Team Leader2. Ms. Anna Aurora Gracita B. Remolar3. Ms. Fe Alvarez4. Ms. Rose Cantos5. Mr. RufinoMalig-on6. Ms. GerconiaRisane7. Mr. Narciso
Duties & Responsibilities:
1. Facilitates procurement and delivery of all purchaserequests in relation to the disaster.
2. Ensures the timely delivery of needed supplies,equipments and medicines to affected area.
3. Conduct regular inventory of supplies, equipments andmedicines
4. Generates a report to the Regional Director withregards to all its operations.
B. TRANSPORTATION SUB-UNIT
Personnel:
1. Mr. Romeo Huertas – Team leader2. Mr. WeldorParo
Duties & Responsibilities:
1. Arranges all necessary transportation requirements fordisaster health teams.
2. Arranges delivery transportation services for supplies,medicines and equipments.
3. Responsible for the maintenance of all transportationvehicles
C. BLOOD SUB-UNIT
Personnel:
1. Dr. Milagros M. Viacrusis-Head2. Davao Blood Center Staff
Duties & Responsibilities:
1. Provides emergency blood banking facilities duringemergencies
2. Conducts donor processing and screening for blooddonation
3. Maintains ideal environment for blood storage
4. Conducts blood donation activities
D. HUMAN RESOURCE / MANPOWER SUB-UNIT
Personnel:
1. Ms. Ma Corazon Mendez2. Ms. Rebecca R. Canales3. Ms. PablitaAblas4. Ms Rowena Carrasco5. Mr. Gerry Caparos6. Ms. LourditaLoba7. Ms. Aileen Flores
Duties & Responsibilities:
1. Conducts regular inventory of personnel / manpower
2. Ensures the availability and efficient rotation ofpersonnel / manpower for Operation Center
3. Generates data and report regularly to RD on thestatus of manpower
V. OPERATIONS UNIT (Local Health Support Division)
1. Dr. RacquelMontejo – Overall team leader
A. NUTRITION
Personnel:
1. Ms. Ma. Teresa Requillo – Team leader2. Ms. Deborah S. Legaspi3. Ms. Gwendolyn P.Bardos4. Mr. Arnold G. Alindada5. Ms. PetronilaBolaños
1. Duties & Responsibilities:
2. Conducts nutritional assessment survey of all affectedpopulation.
3. Identifies vulnerable malnourished population forappropriate feeding program.
4. Provides feedback to planning unit for appropriateresponse.
5. Coordinates with DSWD with regard to theestablishment of feeding stations and feedingprograms.
B. RESU / DISEASE SURVEILLANCE
Personnel:
1. Dr. CleofeTabada2. Engr. Beth Baba3. Mr. Rommel Cantos4. Ms. Roselle Cueto5. Ms. Melissa Sullano6. Ms. Clarisse Andong7. Mr. Alvin Labrador8. Ms. Angelica Niña Angliongto
Duties & Responsibilities:
1. Conducts appropriate epidemiological investigation ofhealth emergencies.
2. Establishes a passive / active surveillance system inthe affected area.
3. Monitors the progress of health responses.
4. Generates the proper epidemiologic data.
5. Provides the RD with necessary report.
C. MENTAL HEALTH PSYCHOSOCIAL SUPPORT
Personnel:
1. Mr. RustumFanugao- Team leader2. Dr. Grace Amistoso3. Ms. Rosemarie Basanes4. Ms. Myra Aida Macayra5. Ms. Zenaida Soriano6. Ms. MarialynAvancena7. Mr. Arlan Cisneros8. Mr. Rodrigo Puyos9. Mr. Alex Daba10. Mr. Jonathan Placido11. Mr. Demetrio Lerin12. Mr. Roland Tabunan- Driver
Duties & Responsibilities:
Assesses and evaluates the make-up anddevelopment of affected victims.
Intervenes when necessary to psychologicallystressed victims or health workers through thecrisis intervention stress debriefing technique..
Maintains periodic psychological evaluation andexamination of the victims and recommendappropriate interventions.
D. WATER SANITATION AND HYGIENEPersonnel:
1. Engr. Gloria O. Raut– Team leader2. Engr. Rey Alarcon3. Engr. Gonzalo S. Longakit Jr.4. Engr. Ever V. Requiso5. Engr. Alvin Agarrado6. Engr. RomelAverilla7. Engr. GrezaldoBetita8. Engr. Joy Ilagan9. Mr. Grant Neil Pacifico
Duties & Responsibilities:
1. Conducts environmental assessment of affected area /evacuation sites.
2. Recommends measures to ensure availability ofpotable water sources and proper waste management.
3. Recommends measures for vermin control.
4. Conducts IEC with regard to environmental sanitation.
E. MANAGEMENT OF DEAD AND MISSINGPersonnel:
1. Dr. AnalizaJabonero- Team Leader2. Engr. AntoniettaEbol3. Ms. Alice Amba4. Ms. Marie CrisModequillo5. Ms. Joy FairusDinalo
Duties & Responsibilities:
1. Provide technical assistance to LGUs in thepropermanagement of the dead bodies.
2. Assist in the proper identification of the corpsesandheadcount/ documentation of mortality.
3. Assist and Coordinate PNP/NBI for identification ofdead bodies
4. Assist in proper handling and disposal of deadbodies and body parts.
F. INFRA
Personnel:
1. Engr. Divina B. Sonido – Team leader2. Engr. VioletaJasmin3. HFEP Engineers
Duties & Responsibilities:
1. Provide technical assistance in the rehabilitation ofhealth infrastructures damaged by the disaster.
2. Conduct assessment and evaluation of magnitude ofdamage of health facilities.
3. Provide technical assistance and assessment ofhealthand other infrastructure to determine safetyastemporary shelter or alternative health care facility.
G.RAPID HEALTH ASSESMENT AND DISASTER HEALTH TEAMSRHAT/DHT 1 RHAT/DHT 2 RHAT/DHT 3
Dr. Paulo S. PantojanMs. Evelyn U. GelitoMr. Rommel CantosEngr. Gloria RautDOH RepresentativesDriver
Dr. Rachel MontejoMs. RosemarieBasañesEngr. GonzaloLongakitMr. John PortoDOH RepresentativesDriver
Dr. AnalizaJaboneroMs. Mary Lynn AngEngr.ReynaldoAlarconMr. Jonathan PlacidoDOH RepresentativesDriver
RHAT Duties & Responsibilities:
Proceed to affected area in the region within 24 hoursfollowing receipt and verification of report and conduct rapidhealth assessment
DOH Representatives of affected areas are in-charge toconduct RHA within 24 hours.
Coordinate with local authorities
Establish field health advance post
Inform CHD OPCEN of results of RHA with properrecommendations and actions taken
Provide medical transport and health services
Prepare/Plan for the arrival of additional human resources,supplies and equipment in case of sustained operations.
RHAT/DHT 4 RHAT/DHT 5 RHAT/DHT 6
Dr.MilagrosViacrusisMs. Evelyn HauacEngr. Alvin AgarradoDOH RepresentativesDriver
Dr. Connie D PerezMs Myrna MacayraMs. Joy IlaganDOH RepresentativesDriver
Dr. Cleo fe TabadaMs. Maria TeresaRequilloEngr. GrezaldoBetitaDOHRepresentativesDriver
RHAT/DHT 7 RHAT/DHT 8 RHAT/DHT 9
Dr. Grace AmistosoMs. MarialynAvanceñaDOH RepresentativesDriver
PHTO Norte TeamDriver
Dr. Judith TapiadorPHTO Oriental TeamDriver
RHAT/DHT 10 RHAT/DHT 11 Augmentation Team
PHTO Comval TeamDriver
PHTO Sur TeamDriver
Job Orders(Doctors, Nurses,&Engineers)
DHT and Augmentation Team duties &responsibilities :
Responds to health emergencies in the region
Augments existing human resources, supplies, equipment andother medical needs of the local health authorities at provincial/ city / municipal / barangay levels.
Provides specialize health services
Provide and augment direct medical and public health services
VI. SAFETY AND SECURITY UNIT
Personnel:
1. Mr. Romeo Huertas– Head2. Security Guard Group
Duties & Responsibilities:
Conducts assessment and evaluation of all structuresand facilities in RO XI and SPMC to ensure safety.
Implements necessary measures to ensure order andsecurity of RO XI premises such as but not limited toinspection, properidentification / documentation ofingress and egress.
VII. LIAISON UNIT
Personnel:
1. Ms. Ma Jacqueline Bantog– Team Leader2. Mr. Dick Carlo Estrosas
Duties & Responsibilities:
Responsible for coordination and networking with othersectors / agencies for a well-coordinated andcollaborated operation.
VIII. PUBLIC INFORMATION UNIT
A. MEDIA RELATIONS
Personnel:
1.Ms. DiveneHilario- Team leader2.Ms. NenitaRisonar3.Mr. BernangelBumatay4.Ms. Helena Hechanova5.Ms. PetronilaBolaños6.Ms. Yasmin M. Avila
Duties & Responsibilities:
1. Facilitates official press conferences to update mediaand the public regularly on the situation.
2. Provide media briefing for the RD prior to every mediaInterview
3. Prepare risk communication plan
B. INFORMATION MANAGEMENT
Personnel:
1. Mr. Jose Agana- Head2. Mr. TenieSuico3. Mr. German Brion4. Ms. Jacqueline Bantog5. Mr. Ta Anthony _______6. Mr. Domingo Onate Jr.
Duties & Responsibilities:
1. Facilitates fast and efficient communication betweenCHD OPCEN and emergency responders and DOH-HEMS Manila.
2. Serves as first alarm system.
C. RECORDS / DOCUMENTATION
Personnel:
1. Ms. Betty Pellirin2. Ms. Milagros Nierra3. Mr. Celestino Beltran4. Ms. JinkyEspino
Duties & Responsibilities:
Documents all activities conducted during the disasterusing available equipments.
Files and stores important and pertinent informationespecially recording personnel on duty, volunteers,donations.
Responsible for the integrity of documents.
Releases records / data as needed.
VIII. EMERGENCY RESPONSE PLANRepublic of the Philippines
Department of HealthREGIONAL OFFICE-XI
JP. Laurel Ave., Davao CityTel/Fax: 305-1909 /305-1903
DATE________________
DOH – RO XI ORDERNo.________s. _____
SUBJECT: STANDARD OPERATING PROCEDURES, GUIDELINES,PROTOCOLS ON HEALTH EMERGENCY MANAGEMENT
The following Procedures, Guidelines and Protocols shall be adopted in themanagement of Health Emergencies this office.
A. Incident Command System
The over-all Incident Commander shall be the Regional Director. In theabsence of the Regional Director the Assistant Regional Director shall act as theover-all Incident Commander.
There shall be four major units directly under the over-all IncidentCommander. These are the Finance, Planning, Operations and Logistics units. Eachof these units shall be headed by a team leader.
Other special units shall also be directly under the over-all IncidentCommandersuch as the Liaison, Public Information and the Safety and SecurityUnits.
The Operations Unit shall have the following sub-units directly under it namelythe Nutrition, Environmental Sanitation, Mortuary, Infrastructure, CISD, RESU andthe HEM Teams ( Rapid Health Assessment Teams and Disaster Health Teams).
The Public Information Unit shall have the following sub-units namelytheCommunication, Media and the Records and Documentation while theLogisticsUnitshall also have the following sub-units namely the Blood,Transportation, Human Resource and the Drugs/Supplies/Equipments sub-units.
The organizational structure during emergencies and its component as well asthe specific duties and functions of each respective units and sub-units shall beadopted.B. Emergency Information Flow
All information related to emergencies shall be relayed immediately to theOfficer of the Day upon receipt. The Officer of the Day in turn shall be responsible for
contacting and informing concerned CHD personnel / CHD units / local agencies ifnecessary after verification of the information. All information shall be cleared by theRegional Director and or the Assistant Regional Director before these can becommunicated to the Media and central offices like HEMS and NEC especially theOffice of Secretary. Flow chart of the Health Emergency Reporting shall be adoptedas it illustrates the flow of information during Emergency situations.
C. Emergency Response Flow
The Guard-on-Duty shall log in all emergency information upon receipt andmustfill up the emergency call sheet. He / She shall inform immediately and submittheemergency call sheet to the Officer of the Day.
The Officer of the Day shall have his/her own log book and log in allemergency information upon receipt. He/She shall verify the information that hasbeen received and assess and evaluate whether the situation is urgent or non-urgent.
If the situation is urgent and needs immediate intervention then the Officer oftheday must inform right away the Regional Director/Asst. Regional Director andRegional HEMS/ RESU unit. RD/ARD shall activate code alert and shall or shallnotactivate ICS and HEM Plan.
For non-urgent situations the Officer of the day shall still inform the RegionalHEMS/RESU unit. Then he/she shall execute the necessary actions in coordinationwith Regional HEMS/RESU unit staff and shall coordinate with otherconcernedagencies for a well coordinated /collaborated management of thesituation.
D. Emergency Report Flow
To have a well organized reporting system especially duringemergencies,Flow Chart attachment of this document shall be adopted.
The Guard-on-Duty shall submit the filled up emergency call sheet to theOfficerof day. The Officer of the Day shall in turn submit an official report of theincident to the Regional HEMS/RESU unit. Likewise DOH hospitals, DOH attachedagencies and DOH-reps thru the PHTL’s shall submit their official report to RegionalHEMS/RESU unit. All report shall be cleared by the Regional Director/Asst. RegionalDirector before this can be communicated to the Central office andthe media.
For strict compliance.
ABDULLAH B. DUMAMA, JR., MD, MPA, CESO IIIRegional Director
Republic of the PhilippinesDepartment of Health
REGIONAL OFFICE-XIJP. Laurel Ave., Davao City
Tel/Fax: 305-1909 /305-1903
May 31, 2012
CHD DR MEMORANDUMNo.__________s.2012
SUBJECT: OPERATING GUIDELINES FOR HEALTH EMERGENCYMANAGEMENT THIS OFFICE
Effective June 3, 2013, the following guidelines shall be adopted in the operations of theHealth Emergency Management of this office:
1. Personnel of this office whose salary grades from 15 and above shall bedesignated as Officer of the Day for 24 hours. The Officer of the Day shallobserved the regular eight (8) office hours and shall perform their regular dutiesand responsibilities, however during the evening they shall be on-call.
2. Those whose duty falls during Saturdays, Sundays and Holidays shallobserve the same duty hours as above but are not allowed to go outsideDavaoCity except for emergency reasons and with clearance from themanagement.
3. Claim for Overtime pay is not allowed for services rendered duringSaturdays, Sundays and Holidays but instead they shall be authorized to takeoff-duty days corresponding to the days served.
4. The hotline telephone number shall be staffed by the Security Guard on duty. Itis the duty of the Security Guard to contact the Officer of the Day once anemergency call will be received. A cellular phone will be provided from the HEMSfor the said purposes and shall stay at the OPCEN.
5. All materials, supplies, reports and files on Health Emergency shall be kept atthe OPCEN. An Officer of the Day shall be designated for 365 days in a yearwith corresponding CHD Personnel Order.
6. For security reasons only authorized personnel shall be allowed to stay /use theCHD premises after office hours. Authorized personnel include RD / ARD /Division Chiefs / Heads of HMS, PITAHC, BloodCenter, NNC, POPCOM, BFADSatellite Lab. and Officer of the Day designate. All other personnel must haveCHD Order to stay / use CHD properties.
7. The attached organizational chart shall be the structure / chain of command tobe followed during health emergencies.
For strict compliance.
ABDULLAH B. DUMAMA, JR., MD, MPA, CESO IIIRegional Director
ATTACHMENT A:Republic of the Philippines
Department of HealthREGIONAL OFFICE-XI
JP. Laurel Ave., Davao CityTel/Fax: 305-1909 /305-1903
HEALTH EMERGENCY MANAGEMENT STAFF(CALL/TEXT SHEET)
________Date
WHAT: _______________________________________________________________________________________________________________________________________________________________________________________________________________________
WHEN: ___________________________________________WHERE: ___________________________________________
NAME OF CALLER: ________________________________TIME OF CALL: ________________________________TELEPHONE NO: ________________________________RECEIVED BY: ________________________________
ACTIONS TAKEN: ________________________________________________________________________________________________________________________________
VERIFIED BY: ________________________________
ATTACHMENT B:
HEMS / RESU STANDARD OPERATING PROCEDURES
Activity Unit /PersonResp.
Time ofcompletion
Remarks
Surveillance Report HEMS/RESU
Dr. PantojanDr. Tabada
WeeklyMonthly, Semi-annual &Annual ConsolidationReports should also besubmitted.
Forms needed:Surveillance formCase investigation form
(if necessary)
OutbreakInvestigationReport
HEMS/RESU
Dr. PantojanDr. Tabada
Within 1 weekafter theactivity
Semi-annual & AnnualConsolidation Reportsshould be submitted
Forms needed:Line list formOutbreak report formQuestionnaire formsLaboratory forms
Health EmergencyReport
HEMS/RESU
Dr. PantojanDr. Tabada
Immediate:within 24 hrs.
Comprehensive:within 1 week
Monthly, Semi-annual &Annual ConsolidationReports should also besubmitted
Forms needed:HEMS call sheet formHEARS form
ATTACHMENT C:
1. Disease Surveillance Report
Data collectionfrom sentinelsites
Dataconsolidation
Data analysis
2. Outbreak Investigation Report
Submission ofweekly report
Consolidation ofweekly report &analysis
Submission &dissemination ofMonthlySemi-annual &Annual updates
Receive incidentreport
Verify / Confirmincident
Conduct fieldinvestigation incoordinationwith concernLGUs forconfirmedcases.
Data gathering& analysis
Submit &disseminate finalreport ( CHD,NEC, LGU )
Submitfeedback/updatereport to concernLGUs, CHD, NECwithrecommendations
3. Health Emergency Report
Receive healthemergencyincident reportthru Officer of theDay
Verify & confirmthe incident report
Dispatch RapidAssessmentTeam as initialresponse ifnecessary forconfirmed cases
Conduct incidentassessment incoordination withconcern LGUs, RDCC& other respondingagencies
Implementnecessary follow-upresponses
Submit regular updates& Final report to CHD &HEMS Manila
Submit initialreport to CHD,HEMS Manila
Submit monthly,semi-annual &annualconsolidationreports to CHD &HEMS Manila
DAMAGES STRATEGIES/ACTIVITIES TARGET TIME FRAME
RESOURCES REQUIREMENTRESPONSIBLE INDICATORREQUIRED AVAILABLE SOURCE
Health FacilitiesDamages
Damage & needsassessment
Lobby for funding support
Replenishment of logistics:
procurement ofaugmentation drugs & meds
sustained diseasesurveillance & monitoring
Conduct CISD
Regular reporting of cases& immediate referral of risks
cases
Affectedpopulation/Community
Affected LGU
CHD levelLGU level
AffectedPopulation
Affectedpopulation &Dependents,Responders
Evacuationcenters
Immediatelyafter theincident
ASAP
ASAP
ASAP
Wholeduration of the
incidentASAP
Assessmenttool
Assessmentteams
TELHB meeting
Funds
Drugs & MedsTE
CISD teamsTE
VehicleMedical team
Limited
Diseasesurveillance
team
Medicaldoctors,nurses
CHD,LGU
CHDLGU
CHDLGU
CHD’ LGU’DSWD
CHD HEMSRESU,LGU
DCC’s
LHB,LGU
CHDLGU
Supply officer,HEMS, CHD
CHD, HEMS
RESU/HEMSDSWD
LGUHEMS
DANA conducted
Logistics replenished
Drugs & meds foraugmentation procured
Surveillance effectivelyconducted
CISD effectivelyconducted
Environmentaldamages
DANA, Post mortemanalysis
Coordinate withDENR, MGB
ASAP Consultativemeetings,
funds
CHD,DENR,LGU
stakeholders Comprehensiveassessment report
done
IX- RECOVERY & RECONSTRUCTION PLAN
Infrastructuredamages
DANA Coordinate withDPWH/LGU
ASAP -d0- CHD,LGU,DPWH
-do- -do-
Economiceffects
DANA Coordinatewith
concernedagencies
ASAP -do- CHD,concernedagencies,
LGU
-do- -do-
X. ANNEXES
Prepared by: Noted by: APPROVED by:
PAULO S. PANTOJAN, MD, MPH1 MA CONNIE D. PEREZ, MD ABDULLAH B. DUMAMA, JR., MD, MPA, CESO IIIHEMS Program Manager Chief, Local Health Support Regional Director