pakistan flood situation report-who

8/8/2019 Pakistan Flood Situation Report-WHO

1/8

Pakistan Floods Situation Report # 4

Saturday 7 July 2007

Highlights

Another weather system is developing in the Bay of Bengal and moving inNorth West direction from India that would bring in moderate to heavy rainswithin the next 3-4 days in the upper Punjab and Kashmir region. The overallsituation of dams and reservoirs remains under control.

Flood waters are moving southward, lowering the water levels in some areasby resulting in damage to those downstream in districts Dadu and Kambar of

Sindh province.

A joint cross-sectoral assessment of the affected areas is being undertaken bythe NDMA with the assistance of UN agencies and NGO partners.Preliminary assessment results are expected to be available by Thursday July12.

The Health Emergency Preparedness and Response Cell has created an emailaddress for coordination with health partners: [email protected]

Summary

Cyclone Yemyin in Baluchistan

In District Gwadar the most severely affected areas are Pasni and Ormaratehsils. Pasni is affected throughout while Ormara has six union councils badlyaffected. Many people are still stuck in flood areas.

In Chaghai, one of the largest districts in Pakistan, there is still no access to theaffected areas and therefore there is no reliable estimate of the damages andrelief requirements.

In district Khuzdar 25 dead bodies have been recovered and 120 persons are

still missing. Rescue operations are being carried out by Frontier Constabularyand local communities.

Naushki town was cut off from Quetta for three days as the bridge connectingNaushki with Quetta and other parts of Chaghai district was submerged inflood water. In Naushki, no loss of life or injuries were reported, howeverthere are reports of road and house damage in Asiabwan, Jamaldini, Mengal,Sardar Badini, Qadir Abad, Qazi Abad (Naushki Town) Gharib Abad


2/8

Pakistan Floods Health Situation Report # 4 2

World Health Organization Country Office, Islamabad, Pakistan 7 July 2007

(Naushki Town) and many villages of Kishingi. Poultry farms and crops havealso been reported as sustaining significant damage.

Crops and agricultural land has been heavily damaged in Baluchistan. Sheepand cattle have been lost. Most of the agricultural land and standing cropshave been destroyed in areas of Nagar, Dat, Killi Adul Khaliq, Cheel Garasha,

Tabra and Grasha (district Khuzdar).

The district administration in Khuzdar has distributed 200 bags of foodscontaining floor (20kg) Ghee, cooking oil, sugar (5kg), lentils (3kg), teapackets and rice (5kg).

In district Chaghai the DCO office has distributed 200 packets of food in theaffected people in accessible areas.

Quboo Saeed Khan Highw ay, district Kambar Sahahdadkot, Sindh

Rain Storm and Floods in Sindh

More than 50 cases of Dengue Fever including 2 deaths have been reported inKarachi.

HEOC Karachi and WHO are trying to fully establish and strengthen theDisease Early Warning System (DEWS) in Sindh.

10 Union Councils, comprising 25% the area of districts Kambar andShahdadkot have been affected by the floods. About 10% of the total districtpopulation is estimated to be affected.

Flood water from the northern parts of district Kambar are moving south andaffecting new areas. Areas in the south from taluka Warah of district Kambar


3/8



to Mehar and Fareedabad in Dadu are likely to be affected by these waterswithin few days. The draining water from the north is also expected to reachthe already filled Manchar Lake in the next few days, which could potentiallyaffect the surrounding communities.

U.Cs Dost Ali and U.C. Ghabi Dero in district Kambar are 67 % and 100%

submerged. However, all the people have been evacuated.

Monsoon Rains in North-West Frontier Province (NWFP )

In Tank flood water has caused damages in several villages of the District,however, no loss of life has been reported. The Tank- Pezu and TankD.I.Khan road is closed for traffic.

In Haripur District, two women died as their houses collapsed and anotherthree have been injured.

The Relief Commissioner, NWFP has provided 100 tents in district Chitralthat are being transported to the Sonoghore area by the District CoordinationOfficer. Food items were distributed among 120 families and another 2448 kgsof food items have been sent to Sonoghore by DCO for distribution amongstthe affected communities.

300 packets of dry ration, 2500 kg rice and 120 tents are being transported toDistrict Tank today from the warehouse of Provincial Relief Commissioner,NWFP.

In district D. I. Khan, the D.C.O. has purchased and distributed food itemsworth Rs. 550,000/- amongst the flood affected communities. The DCO has

also distributed 111 tents to the affected communities.

Health impact

Baluchistan

In Khuzdar, eleven people have been injured and ten dead. Many houses andboundary walls have collapsed. Some areas are not approachable: Grouk, partof Hazarj Ganji and Dat.

In Chaghai, one casualty has been officially reported by the District of a 10years old child. Communication is badly affected with road links damagedtelephone lines inoperable in the district.

EDO (H) in district Nasirabad reports that most people have moved from theirhouses to Bacha Band (UC Kohna Tamboo and Baba Kot) and Magsi Shaikh.Four health units remain flooded (BHU New Mir Wah, BHU RD 50 MagsiShakh, CD RD 40 Magsi Shakh and CD RD 75 Magsi Shakh) and access tothese health facilities is not possible.


4/8



68 Snake Bite cases have been reported from Nasirabad, 3 from Kech 4 fromLasbela and 3 from Khuzdar. All patients have been treated, and an adequatesupply of ASV is available. Dog bite cases in Jaffarabad have been limited butARV (500 Ampules) has been requested.

Cases of diarrhea, scabies, skin rash and malaria have been reported from

various districts in Baluchistan and all patients have been treated apart fromone casualty of a 5 year child in Kech.

Sindh

WHO Sindh Operations Officer Dr. Wahid Bhurt held a meeting with SpecialSecretary and Deputy Secretary Public Health at HEOC to get their support ofdirecting EDOs and THOs in Sindh to submit their DEWS reports on time.The Special Secretary has agreed to send a letter along with case definitionsand DEWS forms to all EDOs in province and THOs, Karachi, for facility-wise reporting on the DEWS. Once the data is available DEWS will providewarning about priority communicable diseases in the province for appropriate

and timely action.

Health response

1. Assessment and m onitoringBaluchistan

In district Nasirabad, Fateh Abad road route is disconnected but medicines

including life savings drugs and ASV have been supplied to those who havereached there on foot.

Sindh

WHO teams have been sent to visit the worst affected areas of Kambar

The EDO (H) in Kambar Shahdadkot has been asked to provide informationon the type of support he would like to have from WHO and UNICEF. Theformer has indicated an immediate need of 4X4 vehicles.

ORS was urgently requested by district Kambar Shahdadkot and local

procurement is being pursued to ensure its supply as quickly as possible.

The Government of Sindh has reported an adequate supply of ASV for currentneeds, but they have requested more in anticipation of greater demand. Allrequests for medical support are being coordinated with MoH to avoidduplication.

NWFP

A team of MoH/WHO is conducting assessments in affected areas of NWFP


5/8



Health coordination

MSF has offered to supply Water Treatment plants, and are coordinating withthe NDMA to identify priority districts in which to place them.

UNICEF is participating in four cluster groups: Health, Education, ChildProtection and Water & Sanitation.

Partners have been asked to coordinate all requests for medical support withHEPR to avoid duplication.

The NDMA is coordinating a 3 day assessment of the affected areas with twostaging points: the southern assessment leaves from Karachi, which will coverTurbat, Gwadar, Uthal, and Larkhana, and will do a flyover of the Mirani damand Kamber and Shahad districts. The northern assessment leaves fromQuetta and covers Kharan and Dalbandian, Sibi and Jacobabad, with flyoversof Naushki and Jhal Magsi. Road assessments are also being undertaken from

Quetta using the same assessment tool.

2. Filling health gaps WHO will share with the HEPR and NDMA a form for information collection

of the health partners teams working in the field.

The WATSAN cluster has targets to assist in the provision of safe watersupplies and sanitation facilities for around 500,000 flood victims for 3months under the flash appeal.

UNICEF has already secured US$ 1.5 million from their emergency responsefund to meet critical/priority WATSAN needs of the affected communities.

The Pakistan Red CrescentSociety is sending 12 teams within 10 days timefor assessments that would be completed within a months time. They havearranged for a meeting with delegates from France and UAE and Red CrescentSocieties. UAE Red Crescent is interested in establishing a field hospital.

Sindh

WHO has sent 2 Basic Health Kits and 50 Anti Snake Venom vials to Kambar.

Two camps/mobile teams have been established in UC Mirpur.

A medical camp has been established at village Chandan at zero point F.PBand by the S.O, WHO for districts Dadu and Naushero Feroz.

The S.O WHO in Dadu reports that four mobile camps have treated 131patients in different parts of the district. No diarrhoea cases have beenreported. No death has been reported due to floods or Snake Bite.


6/8



UNFPA has sent 500 Hygiene Kits each to districts Thatta, Larkana andKambar

CARE Internationalsmobile teams have started working in Badin.

Pakistan Red CrescentSocietyteams are working in Kamber Shahdadkot, andKarachi. They have dispatched 2 Tons of medicines to Karachi. Their teamsare also planning to go to Kharan within the next 3 days.

Medicines being distributed in Taluka Quboo Saeed Khan, district KambarSahahdadkot, Sindh

Baluchistan

In district Nasirabad, two relief camps at Magsi Shaikh have been opened.

Five fixed medical and two mobile camps are providing medical care to theaffected and displaced population in three flood affected union councils inNasirabad. All these sites are working under the supervision of DCO and EDO(H) and have treated 4137 patients for common ailments and 68 cases of snakebites between 29 June to 5 July 07. So far, no any outbreak or epidemics hasbeen reported from the area.

The Fateh Abad road route in Nasirabad district is disconnected but medicineshave been supplied on foot.

CARE Internationalsmobile teams have started working in Turbat, Jaffarabad,Nasirabad.

Pakistan Red CrescentSociety teams are working in Turbat.

Islamic Reliefhas positioned medical staff at Chaghai & Kharan.


7/8



NWFP

The MoH has sent adequate supplies of anti- malarial medicines, bed nets andhealth education material to affected areas in NWFP. One medical team isbeing dispatched to the affected areas of NWFP.

In district Nowshera medical cover has been provided to 257 families.

Table-1 Health Emergency Operations Cell, Karachi, Sindh

Support to worst Rain/ Flood affected Districts/ Provinces in Pakistan

Location Truma

Kit

NEHK Cholera

Kit

Chlorine

Tablets

Basic

Kit

Anti

Snake

Venom

(ASV)

Hygiene

Kits by

UNFPA

Date of

Delivery

Mode of

Transport

Balochistan

Lasbela 1 0 0 30,000 1 0 1-Jul-07 Road

Jhalmagsi 1 0 0 20,000 1 0 4-Jul-07 Road

Jafarabad 2 0 0 20,000 1 0 4-Jul-07 Road

Nasirabad 1 0 0 10,000 1 0 4-Jul-07 Road

Turbat 2 0 1 30,000 2 0 5-Jul-07 Air

Sindh

Karachi 0 0 0 109,184 0 20 27-Jun-07

Road

Kambar 1 0 0 10,000 4 50 500 4-Jul-07 Road

Thatta 0 0 0 10,000 4 100 500 6-Jul-07 RoadCivilHospt Hyd

0 0 0 0 0 40 5-Jul-07 Road

DG Hyd 0 1 0 100,000 0 200 5-Jul-07 Road

Larkana 0 0 0 0 0 0 500 7-Jul-07 Road

Kashmore 0 0 0 0 0 25 7-Jul-07 Road

NausheroFeroze

100

Badin 50

Matiari 80

Total 8 1 1 339,184 14 665 1,500


8/8



3. Preserving and supporting local health systems WHO in collaboration with the Ministry of Health is working to strengthen the

Disease Early Warning System (DEWS) that has been activated in Karachi. Asimilar approach is to be replicated in Quetta.

Urgent needs

In Baluchistan Helicopters are required to search for dead bodies in areaswhere road links have been disrupted.

In Baluchistan especially, there is an urgent requirement of Anti Snake Venomas snake bite cases are on the rise in the province.

More medical camps and vaccinations are needed in Kamber, Shadadcote, andDadu to avoid possible epidemics in the flood and cyclone affected areas.

pakistan flood situation report-who

Documents