SITREP – Friday 29th November, 2013

Location
Site(s) Visited: Pantalan , Binulungan
Team Members: All
Source of Info: Interview with Captain of Pantalan
Location: PANTALAN 29/11/13
General:
·  Pantalan is one of three baringays on the island of Binulungan. The three baringays are Binulungan, Pantalan and Tabugo. The Pantalan baringay is made of 6 ‘puroks’ (sub-divisions of the baringays).
·  Population of 2,183 in 510 households.
·  Reporting 22 deaths from the typhoon and 3 missing (fishermen).
·  All properties were damaged or destroyed in the typhoon.
·  32 pregnant women
Post Typhoon Health:
·  Previous report from the Royal Navy – similar findings
·  From our assessment it was reported that there was one patient with dislocated shoulder and some minor injuries from the typhoon from eg. stepping on nails and being hit by flying debris.
·  There have been 2 babies born since the typhoon.
·  No new perceived health needs
·  A team of two Australian doctors provided health care on the 28th November. Details unknown.
Population Health:
·  General impression – majority of the population looked healthy however young children were slightly undernourished. The baringay had a nutritionist.
·  Vaccination status – all children were routinely immunised for measles, polio, tetanus, BCG and were routinely checked for worms.
·  32 pregnant women – input from midwife who visits once a month. Last reported visit by midwife 7th October.
·  There is no health centre in the baringay.
·  Access to other health care facilities - an hour away from Pantalan in the main town of Estacion.
·  There are three traditional healers in the baringay that the people use. The cost of the traditional healer is 20 pesos per visit in comparison to a visit to the nearest hospital which is 100 pesos. This inevitably leads to reliance to the traditional healer.
Water/Sanitation:
·  Pre-typhoon – there is a standing hand pump connected to a deep spring that is used for drinking and washing by all in the baringay.
·  Post-typhoon – the pump is still working.
·  Sanitation – it was reported that all home have latrines that are fed into tanks. Population have access to latrines but unclear how what percentage were affected. No evidence of running sewage.
Shelter:
·  Pre typhoon there were 510 houses, 1 church and an elementary school.
·  Typhoon – all buildings damaged or destroyed. Good data collected by baringay about the damage to households and boats.
·  Rebuilding already in progress – damage materials reused to create temporary structures and had minimum tools available.
·  Has mains electricity 24 hours a day for the last 3 year. Supplied by line from neighbouring island. Typhoon has destroyed all lines. Electricity available to only one household with personal generator.
Food:
·  Main food rice. They grow banana, coconut, cassava and mango– none of these growing currently. Fishing boats reported as significantly damaged. Number of boats observed throughout the day fishing and also transporting people.
·  Fishing is the source of income and food. Evidence of fishing in baringay today.
·  Livestock – pigs and poultry.
·  Supplies from Philippines government within a week of typhoon. No evidence of aid in the last week.
Clinical Activity:
·  82 patients seen in clinic, by ED Cons, ED Dr, GP, 2 ED Nurse and a paramedic, ran for 5.5 hrs.
·  There were 4 minor injury patients as a result of the typhoon.
·  Other patients – mostly primary care inc. respiratory tract infection, abdominal and joint pains and back pains.
·  One case of suspected typhoid was reported to MSF Switzerland who will be working locally.
·  One case of suspected appendicitis which was given a referral letter and update will follow.

Report Compiled By ……………………………………….

Philippines T2 26-11-13