Health Service Delivery Cluster

Response to Typhoon Yolanda

Center for Health Development- Western Visayas

Highlights:

 

Guimaras Antique Capiz Aklan Iloilo Negros Total

Deaths   7 59 13122- (identified)  

1 203  16 (unidentified)

Injuries 10 143 2,184 346 14 36 2,733

Missing   15 1 1 1   17

Health Services• Routine  health facility operations-       Trauma management/Prophylaxis-leptospirosis/tetanus• Medical Missions• Common morbidities 1. trauma/injuries  2. respiratory infection/illness  3. gastroenteritis• No reported outbreaks (post typhoon)• Surveillance system

CY 2006 CY 2007 CY 2008 CY 2009 CY 2010 CY 2011 CY 2012 CY 20130%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

88% 87% 91%85%

81%74%

86%

37%

Fully Immunized Child, CY 2006-Jan- June 2013, Region 6

NEGROS OCC.

ILOILO CAPIZ AKLAN ANTIQUE GUIMARAS ILOILO CITY BACOLOD CITY

Region 630%

31%

32%

33%

34%

35%

36%

37%

38%

39%

38% 38%

34%

33%

38% 38%37%

35%

37%

FIC, Per Province/HUCs, January-June 2013

STRENGTHENING IMMUNIZATION IN AREAS OF WESTERN VISAYAS AFFECTED BY SUPER TYPHON YOLANDA

I. IMMUNIZATION RESPONSE ACTIVITIES 1.Strengthening the implementation routine Expanded

Program on Immunization (EPI)a.Conduct of routine immunization as fixed sites in all rural

health units (RHUs)/ main health centers at least once weekly offering all vaccines under EPI

b.Outreach immunization shall be continuously conducted especially in geographically difficult areas

STRENGTHENING IMMUNIZATION IN AREAS OF WESTERN VISAYAS AFFECTED BY SUPER TYPHON YOLANDA

1. Supplemental Immunization Activitiesa. Immunization with monovalent measles vaccine among 6-8 months old infants in all areas affected by

the typhoon- This is extra dose of measles vaccination and may be called as AMV0(Anti- Measles Vaccine 0); this will

be recorded in the Target Client List (TCL) at the remarks column- A repeat dose of monovalent measles vaccine will be given at 9 months of age and may be called as

AMV1 

a. Catch up immunization for all under 5 year old children through selective vaccination - House to house masterlisting of all under 5 year old children and identification of unimmunized children- Vaccinate identified unimmunized children during masterlisting with appropriate vaccine according to

EPI schedule (Selective vaccination)- BCG shall not be given to above 1 year old children; Doses of OPV/PentaHib shall be given at least 1

month apart ; Pentahib may be given to children below 5 years old to complete the 3 primary series for Hep B and/or DPT

STRENGTHENING IMMUNIZATION IN AREAS OF WESTERN VISAYAS AFFECTED BY SUPER TYPHON YOLANDA

Immunization in the Evacuation Centers- Non selective vaccination of Measles Containing Vaccine (MCV) and oral polio vaccine (OPV) shall

be conducted in evacuation centers . Immediate conduct of vaccination for areas with on going measles virus

transmission/clustering/outbreak In areas with no active measles virus transmission, non selective vaccination shall be conducted if

the children stayed for 5 days or more in the evacuation center.- Target for vaccination : MCV – 6 months to 5 years old OPV – 0 months to 5 years old- Vitamin A supplementation shall be given to 6 months to 5 years old children

STRENGTHENING IMMUNIZATION IN AREAS OF WESTERN VISAYAS AFFECTED BY SUPER TYPHON YOLANDA

Community immunization in areas with measles case/s a.Non selective vaccination to all close contacts with

measles containing vaccine within the household/purok/sitio

b. Maximum age group will depend on the surveillance report and logistics availability.

STRENGTHENING IMMUNIZATION IN AREAS OF WESTERN VISAYAS AFFECTED BY SUPER TYPHON YOLANDA

II. Ensuring Potency and viability of vaccines through proper cold chain management

1. Proper cold chain management shall be observed at all times despite power interruption

2. Vaccines shall be stored in the nearest facility (e.g. hospital) with generator set or alternative power supply

3. Safety injection practices shall be observed at all times