HURRICANE MATTHEW Situation Report No.9 Date: 08 October 2016 (18:00 EST) PAHO HQ- Washington DC

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1 HURRICANE MATTHEW Situation Report No.9 Date: 08 October 2016 (18:00 EST) PAHO HQ- Washington DC This report is produced by PAHO/WHO in collaboration with PAHO Country Offices, Ministries of Health, and with inputs from official organizations. This report covers the period from October 2016 at 18:00 EST. HIGHLIGHTS Hurricane Matthew has severely affected the Sud and Grand Anse Departments, particularly in the communes of Les Cayes and Jérémie, in Haiti Matthew is a Category 1 Hurricane with maximum sustained winds near 75 mph (120 km/h) A Hurricane Warning is in effect for North Carolina and 4 states (Florida, North Carolina, South Carolina, and Georgia) have declared a state of emergency 2 confirmed deaths in Florida 183 shelters with 18, 450 occupants throughout the four states Over 1 million people have lost power SITUATION OVERVIEW On October 4, At 7:00am, Matthew made landfall near Les Anglais, Haiti (estimated pop. 27, 182) PAHO has deployed a total of 12 Regional Response Team Experts to 4 countries (see table below) Country PAHO Deployees Haiti Bahamas Jamaica Cuba WASH HEALTH COORD DANA LOG EMT COORD COMM 1

2 RESPONSE ACTIONS: HAITI Official sources are reporting approx. 300 persons dead, however other sources are reporting higher number of deaths, this is due to inaccessible areas and difficulties in establishing communications The Haitian Civil Protection Agency reports that 350,000 people need assistance Over 29,000 houses and public infrastructure are destroyed or severely damaged PAHO/WHO: A field team (Field Coordinator, Logistics/Administrator, and Epidemiologist) is being sent to Les Cayes today, another team (Field Coordinator and Logistics/Administrator) is being sent to Jérémie with supplies. Tomorrow, another team will go to Jérémie. In close coordination for aerial transport with US military, MINUSTAH, and WFP Cholera In Randel, Port-a-Piment, there are 46 hospitalized patients; however, communications in the area are still down There are reports of an increase in cases in Jérémie Although, the rest of the country was not directly affected by the hurricane, due to the season, there are signs of increased cholera cases Department City Type Impact Grand Anse Sud Jérémie St. Antoine de Jérémie Hospital -Flooded pharmacy -Loss of supplies and equipment -Damaged morgue and damaged air conditioners in operating room Dame Marie Hospital -No information since Monday evening Les Cayes Hôpital de l Immaculée Conception des Cayes (HIC) -Reopened, pediatrics and maternity wings functioning normally -No electricity, water and debris/mud on floor -Lack of equipment -Lack of HR: Medical Director, nurse, and student on site -3 CAN ambulances on site -Need: psychological assistance (shocked patients) -10 patients attended to Camp Perrin Health Center -100 injured received after hurricane -CTDA damaged and restrooms destroyed St. Louis de Sud Health Center -Empty Les Anglais Health center -Completely destroyed Port Salut Hospital -Functioning -Received 200 injured after hurricane -CDTA destroyed and part of roof missing Fond des Blancs St. Boniface Hospital -Fully functional -Yet to see patients, saw 100 patients on 07 Oct and 50 patients on 06 Oct, but usually receive 400 -Began active surveillance of cholera in the community with volunteers on 07 Oct 2

3 THE BAHAMAS Grand Bahama greatly affected; NEMA has begun their search and rescue activities Over 1.3 million people were initially mandatorily evacuated Electricity is in the process of being restored in New Providence, assessments are ongoing. All Clear has been given to entire island The Lyden Pindling Airport is open Reports indicated that the three islands with severe damage are Andros, Grand Bahama, and New Providence 536 people are in shelters in Grand Bahama, roads are blocked, and there is no water or electricity, but no deaths or injuries were reported Initial assessments indicated that 90% of North Andros has been destroyed and is currently without electricity, water, and communications In New Providence, there are reports of flooding, downed power lines and trees, and blocked roads in some areas Assessments are ongoing 536 persons in shelters The MoH has reported leaks and roof damage and Health EOC has been relocated PAHO/WHO: PAHO-BHS is still providing support for NEOC operations Total of 5 health facilities (3 with minor damages (roof damage, leaks), and 2 with moderate damages) were reported CUBA Approximately 300,000 people are affected The affected municipalities in Guantanamo Province are: Baracoa, San Antonio del Sur, Imias, Maisi, Yateras and in Holguin Province: Sagua de Tanamo and Moa; health facilities in these regions have been affected, however, assessments are ongoing Maisi and Baracoa remain isolated 90% of houses in Baracoa have been damaged The agricultural sector has been damaged Electricity generators at Hospital Octavio de la Concepcion and de la Pedraja, in Baracoa collapsed DOMINICAN REPUBLIC MoPH began epidemiological surveillance 18,904 people affected; 1,039 people in 21 shelters in 14 provinces; 4 deaths 3,174 homes affected and 6 bridges collapsed 21 provinces remain under a red alert; yellow alert remains for 5 provinces and green alert for 8, due to possible flash flooding 94 aqueducts/water systems are out of service in 8 provinces; electrical systems were severely affected MoH reported that all affected hospitals are now functioning. Damage assessment ongoing for Hospital Municipal de Vicente Noble 3

4 NEEDS Bahamas: Vector control supplies Haiti: Petit Goave Hospital requested essential medicines and supplies. A request has been placed through GOARN for additional staffing for enhancement of the Alert and Response System Cuba: Potable water to prevent water-borne diseases, strengthening of epidemiological surveillance and vector-control measures, medicines and supplies to replenish stock and maintain basic health services, and support the recovery of health infrastructure Acronyms ACF- Action Contre La Faim BHS- Bahamas BPL- Bahamas Power and Light Company Limited CAN- National Ambulance Center CDTA- Acute Diarrhea Treatment Centers COMM- Communications COORD- Coordination DANA- Damage Analysis and Need Assessment DINEPA- Direction Nationale de l Eau Potable et de l Assannissement EMT- Emergency Medical Team EOC- Emergency Operations Center GOARN- Global Outbreak Alert and Response Network HTI- Haiti INAPA- Instituto Nacional de Aguas Potables y Alcantarillados LOG- Logistics MDM- Médicos del Mundo Argentina MoPH- Ministry of Public Health NGO- Non-Governmental Organization NEMA- National Emergency Management Agency NEOC- National Emergency Operations Center NRC- Nuclear Regulatory Commission PAHO- RRT- Regional Response Team UNGRD- Unidad Nacional para la Gestión del Riesgo de Desastres WASH- Water, Sanitation, and Hygiene WFP- World Food Programme WHO- World Health Organization 4

5 Sources: CDEMA; OCHA; PAHO-HTI; PAHO-CUB; PAHO-BHS; PAHO-JAM; NOAA-NHC; DC COLOMBIA; FEMA; MPH-OEA; NEMA FOR MORE INFORMATION PLEASE CONTACT: Or visit: To be added or removed from this distribution list of situation reports, please 5