the health emergency management

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


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


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


NUTRITIONRHA/DHT

WASH MDM MHPSS RESU INFRA


PIO



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


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


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


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


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


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


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


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


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


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


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


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


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


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


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.


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


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


Within 1 weekafter theactivity

Semi-annual & AnnualConsolidation Reportsshould be submitted

Forms needed:Line list formOutbreak report formQuestionnaire formsLaboratory forms

Health EmergencyReport

HEMS/RESU


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